JOHN NELLIS

CONWAY, AR
NPI1871984088
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-02-10
Last Update Date2015-02-10
Business Address
-- JOHN NELLIS Recovery Assistant
132 LOWER RIDGE RD
CONWAY, AR 72032-8518
Phone number: 501-548-9905
Mailing Address
-- JOHN NELLIS Recovery Assistant
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344