NPI 1962883520

Gray-Millenbaugh Practitioner Healthcare, LLC

Organisation Nursing Care Agency Pine Bluff, AR

Practice location

Address: 3801 Camden Rd Chapel Village 1 Suite 12, Pine Bluff, AR 71603-4612
Phone: (870) 534-4847
Fax: (870) 534-4884

Authorised official

Name: Diana Gray Millenbaugh
Title: Owner
Phone: (870) 329-4202

Registered specialties (4)

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence A002944 (AR)

Other Nursing Care providers in Arkansas →

Emergency Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QE0002X Licence A002944 (AR)

Other Clinic/Center providers in Arkansas →

Health Service Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QH0100X Licence A002944 (AR)

Primary Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence A002944 (AR)

Registry record

NPI: 1962883520
Entity type: Organization
NPI issued: 9 Jun 2015
Record last updated: 9 Jun 2015

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.