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Individual

MRS. MAHALA KATHERINE HAYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHPP

Contact information

Practice address
4400 SHUFFIELD DR, LITTLE ROCK, AR 72205-7100
(501) 686-9318
(501) 686-9618
Mailing address
PO BOX 250337, LITTLE ROCK, AR 72225-0337
(501) 686-9318
(501) 686-9618

Taxonomy

Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
3747A0650X
Attendant Care Provider
Primary
AR

Other

Enumeration date
09/12/2007
Last updated
11/15/2019
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