Provider First Line Business Practice Location Address:
405 HWY 11 NORTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DES ARC
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-256-3009
Provider Business Practice Location Address Fax Number:
870-347-3492
Provider Enumeration Date:
07/12/2006