Individual
DEBRA A GREENLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 SOUTH RD, BELLEVILLE, AR 72824-8820
(479) 493-2862
Mailing address
PO BOX 71, BELLEVILLE, AR 72824-0071
(870) 715-7542
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163201783
—
AR
Enumeration date
04/24/2008
Last updated
04/24/2008
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