Organization
JUST LIKE YOU POST-MASTECTOMY AND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HOLMES (OWNER)
(870) 933-6296
Entity
Organization
Contact information
Practice address
2308 SUNNY MEADOW DR, JONESBORO, AR 72404-9348
(870) 933-6296
(870) 933-6286
Mailing address
PO BOX 16926, JONESBORO, AR 72403-6716
(870) 933-6296
(870) 933-6286
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160510716
—
AR
01
—
49667
ARKANSAS BLUE CROSS
AR
05
—
626152706
—
MO
Enumeration date
06/24/2006
Last updated
02/07/2013
Update your record
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