Organization
MY HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY DEANNE HALL (EXECUTIVE DIRECTOR)
(501) 329-4252
Entity
Organization
Contact information
Practice address
#760 HIGHWAY 365 SOUTH, MAYFLOWER, AR 72106
(501) 470-1609
Mailing address
PO BOX 125, MAYFLOWER, AR 72106-0125
(501) 329-4252
(501) 329-2018
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
AR
Other
Enumeration date
03/01/2007
Last updated
08/22/2020
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