Organization
ARKANSAS RESPIRATORY AND EQUIPMENT PROVIDERS
Active
Other names
PEDIATRIC NUTRITIONAL PROVIDERS
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA PENNICK CRTLRCP (MANAGER)
(501) 318-1110
Entity
Organization
Contact information
Practice address
3632 CENTRAL AVE, SUITE C, HOT SPRINGS, AR 71913-6403
(501) 318-1110
(501) 318-1118
Mailing address
3632 CENTRAL AVE, SUITE C, HOT SPRINGS, AR 71913-6403
(501) 318-1110
(501) 318-1118
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
253101-62-001
AR
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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