Provider First Line Business Practice Location Address:
1039 N FOUCHE AVE
Provider Second Line Business Practice Location Address:
PERRY COUNTY HEALTH UNIT
Provider Business Practice Location Address City Name:
PERRYVILLE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72126-8545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-889-5156
Provider Business Practice Location Address Fax Number:
501-889-5484
Provider Enumeration Date:
08/09/2006