| NPI | 1104171990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN SULLIVAN RN Owner 479-495-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: AR 192062765) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |