Whalio Doctors

NPI 1093041766

Second Chance Ranch

Organisation Point of Service Paron, AR

Practice location

Address
201 Destined to Win Road, Paron, AR 72122
Phone
(501) 847-1559
Mailing address
PO Box 901, Bryant, AR 72089-0901

Authorised official

Name
Nathan Winiecki
Title
Case Manager/Teacher
Phone
(501) 847-1559

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X

Registry record

NPI
1093041766
Entity type
Organization
NPI issued
30 Oct 2009
Record last updated
30 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.