JARED LILLIS

MOUNTAIN HOME, AR
NPI1518174754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- JARED LILLIS
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653-8212
Phone number: 870-425-5252
Mailing Address
-- JARED LILLIS
2500 HICKORY CIR
MOUNTAIN HOME, AR 72653-9222
Phone number: