KORY THATCH

JONESBORO, AR
NPI1104335223
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2017-09-20
Last Update Date2018-06-05
Business Address
KORY THATCH MHPP
1815 PLEASANT GROVE RD
JONESBORO, AR 72401-7870
Phone number: 870-933-6886
Mailing Address
KORY THATCH MHPP
1425 W MAIN ST
WALNUT RIDGE, AR 72476-1431
Phone number: 870-886-5303
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