Individual
HALEY SKAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
(870) 424-4112
Mailing address
PO BOX 2533, MOUNTAIN HOME, AR 72654-2533
(870) 424-4021
(870) 424-4112
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261487795
—
AR
Enumeration date
03/01/2021
Last updated
03/01/2021
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