NPI 1427139567

Tippin Surgical Supply

Organisation Adult Care Home Facility Ola, AR

Practice location

Address: 502 West Pennington Street, Ola, AR 72853
Phone: (479) 489-5237
Mailing address: PO Box 249, Ola, AR 72853-0249

Authorised official

Name: Barry Tippin
Title: Owner
Phone: (479) 489-5237

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 0339347500 (AR)

Other Custodial Care Facility providers in Arkansas →

Registry record

NPI: 1427139567
Entity type: Organization
NPI issued: 17 Oct 2006
Record last updated: 17 Jun 2008

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.