NPI 1114247863
Hometown
Practice location
- Address
- 503 SE Lindsey St, Hoxie, AR 72433-2224
- Phone
- (870) 886-1333
- Mailing address
- 805 SE 7th St, Walnut Ridge, AR 72476-3208
Authorised official
- Name
- Lanny Tinker
- Title
- Owner
- Phone
- (870) 886-1333
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1114247863
- Entity type
- Organization
- NPI issued
- 4 Jun 2010
- Record last updated
- 4 Jun 2010
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.