Organization
H4L RANCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY STOUT (CHAIRMAN)
(870) 273-5376
Entity
Organization
Contact information
Practice address
853 US 63, WALNUT RIDGE, AR 72476
(870) 273-5376
Mailing address
1996 GREEN 747 ROAD, PARAGOULD, AR 72451
(870) 273-5376
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
239
AR
Other
Enumeration date
10/11/2016
Last updated
01/12/2017
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