JERRY FORD

CLARKSVILLE, AR
NPI1790048791
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-06-25
Last Update Date2012-06-25
Business Address
-- JERRY FORD Recovery Assistant
522 MILL RD
CLARKSVILLE, AR 72830-8511
Phone number: 479-705-1301
Mailing Address
-- JERRY FORD Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344