Organization
IN GOD'S HANDS TRANSITIONAL LIVING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YE JUANDA SARGENT (EXECUTIVE DIRECTOR)
(870) 949-7758
Entity
Organization
Contact information
Practice address
1032 MULLINS, 24, MAGNOLIA, AR 71753-3380
(870) 949-7758
Mailing address
1032 MULLINS, 24, MAGNOLIA, AR 71753-3380
(870) 949-7758
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196133746
—
AR
05
—
196258763
—
AR
Enumeration date
05/16/2013
Last updated
05/16/2013
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