Organization
THE ARDENT-MAVERICK GROUP, INC.
Active
Other names
Lonnie's Dream, In-Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD WATSON (ADMINISTRATOR)
(501) 392-6639
Entity
Organization
Contact information
Practice address
1610 E KIEHL AVE STE B, SHERWOOD, AR 72120-3762
(501) 392-6639
Mailing address
1610 E KIEHL AVE STE B, SHERWOOD, AR 72120-3762
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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