Organization
BIG E'S HANDICAP RIDING ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DIANE EASON LPN (PROGRAM DIRECTOR)
(870) 503-5686
Entity
Organization
Contact information
Practice address
901 LIVE OAK DR, NEWPORT, AR 72112-2913
(870) 503-5686
Mailing address
721 HWY 367 N, NEWPORT, AR 72112
(870) 503-5686
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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