DERRICK NELSON

MALVERN, AR
NPI1972741783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2009-02-02
Last Update Date2009-02-02
Business Address
DERRICK NELSON MHPP
1615 MLK BLVD
MALVERN, AR 72104-2233
Phone number: 501-332-5236
Mailing Address
DERRICK NELSON MHPP
125 DONS WAY
HOT SPRINGS, AR 71913-6478
Phone number: 501-624-7111
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