JIMI HENDERSON

CONWAY, AR
NPI1003203332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2015-04-24
Last Update Date2021-11-08
Business Address
Mr. JIMI HENDERSON Recovery Assistant
132 LOWER RIDGE RD
CONWAY, AR 72032-8518
Phone number: 501-548-9905
Mailing Address
Mr. JIMI HENDERSON Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344