NPI 1235680711

H4l Ranch, INC

Organisation Preferred Provider Organization Brookland, AR

Practice location

Address: 644 County Road 912, Brookland, AR 72417-8658
Phone: (870) 273-5376

Authorised official

Name: Tony Stout
Title: Chairman
Phone: (870) 273-5376

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1235680711
Entity type: Organization
NPI issued: 19 Oct 2016
Record last updated: 19 Oct 2016

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.