Organization
REHOBOTH AT LAST. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THIMOTEE ILBOUDO (GENERAL MANAGER)
(928) 386-1252
Entity
Organization
Contact information
Practice address
533 CABOOSE LN, SPRINGDALE, AR 72764-6505
(928) 386-1252
Mailing address
533 CABOOSE LN, SPRINGDALE, AR 72764-6505
(928) 386-1252
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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