Organization
BROOKS MEDICAL OF MOUNTAIN HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA FLOWERS (PRESIDENT)
(870) 424-9808
Entity
Organization
Contact information
Practice address
860 HIGHWAY 62 E, SUITE 10, MOUNTAIN HOME, AR 72653-3248
(870) 424-9808
(870) 424-9810
Mailing address
860 HIGHWAY 62 E, SUITE 10, MOUNTAIN HOME, AR 72653-3248
(870) 424-9808
(870) 424-9810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166731716
—
AR
Enumeration date
03/28/2014
Last updated
03/28/2014
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