NICHOLAS BOSTAD

BENTON, AR
NPI1073946885
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2013-08-15
Last Update Date2013-08-15
Business Address
-- NICHOLAS BOSTAD Recovery Assistant
6701 HIGHWAY 67 BLDG 4
BENTON, AR 72015-8909
Phone number: 501-315-3344
Mailing Address
-- NICHOLAS BOSTAD Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344