Organization
REJUVENATION
Active
Organization
REJUVENATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PURMEALIA ALLEN (OWNER)
(870) 438-5676
Entity
Organization
Contact information
Practice address
154 HUNTSVILLE RD, EUREKA SPRINGS, AR 72632-9730
(870) 438-5676
(870) 438-5469
Mailing address
1375 COUNTY ROAD 717, BERRYVILLE, AR 72616-4462
(870) 438-5676
(870) 438-5469
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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