Organization
ALLIED HEALTH CONNECT ASSOCIATED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDISE S. FORD RN. (DIRECTOR)
(870) 278-8997
Entity
Organization
Contact information
Practice address
843 E. MAIN STR, BLYTHEVILLE, AR 72315
(870) 278-8997
Mailing address
843 E. MAIN STR, BLYTHEVILLE, AR 72315
(870) 278-8997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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