MELVIN BREEDLOVE

FORT SMITH, AR
NPI1932473311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-03-01
Last Update Date2012-03-01
Business Address
-- MELVIN BREEDLOVE MHPP
1340 S WALDRON RD
FORT SMITH, AR 72903-2556
Phone number: 479-452-5040
Mailing Address
-- MELVIN BREEDLOVE MHPP
PO BOX 23070
BARLING, AR 72923-0070
Phone number: 479-452-5040