Organization
HALEY CHIROPRACTIC LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN DENISE HALEY (OFFICE MANAGER)
(501) 589-2222
Entity
Organization
Contact information
Practice address
5 NEW ST, QUITMAN, AR 72131-8607
(501) 589-2222
(501) 589-2222
Mailing address
PO BOX 335, QUITMAN, AR 72131-0335
(501) 589-2222
(501) 589-2222
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
927
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112370718
—
AR
Enumeration date
10/13/2006
Last updated
09/30/2020
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