FULL POTENTIAL

BRYANT, AR
NPI1730450826
Doing Business AsPOTENTIAL HORIZON
Entity TypeOrganization
Authorized ContactRYAN BRUCE RUSSELL
Speech Therapy
501-562-5400
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: AR  SP#2073)
Enumeration Date2012-01-20
Last Update Date2012-01-20
Business Address
FULL POTENTIAL
4 PARK DR
BRYANT, AR 72022-2940
Phone number: 201-249-7508
Mailing Address
FULL POTENTIAL
8109 INTERSTATE 30
LITTLE ROCK, AR 72209-4840
Phone number: 501-562-5400
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