Organization
CITY 2 CITY MARKETING & DISTRIBUTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAPOLEON SANDEFORD II (PROGRAM MANAGER / COMMUNITY CONNECT)
(870) 413-2157
Entity
Organization
Contact information
Practice address
3123 W 28TH AVE, PINE BLUFF, AR 71603-4804
(870) 413-2157
Mailing address
3123 W 28TH AVE, PINE BLUFF, AR 71603-4804
(870) 413-2157
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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