Organization
JUBAR LLC
Active
Other names
NEW BALANCE HOT SPRINGS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLEY ANN DICKINSON (OWNER)
(501) 794-1356
Entity
Organization
Contact information
Practice address
201 AIRPORT RD, HOT SPRINGS, AR 71913-4060
(501) 794-1356
(501) 794-1356
Mailing address
201 AIRPORT RD, HOT SPRINGS, AR 71913-4060
(501) 794-1356
(501) 794-1356
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165812716
—
AR
Enumeration date
01/22/2007
Last updated
11/09/2009
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