Ka Legacy Inc | |
103 W Fleeman Manila AR 72442 | |
(870) 919-6585 | |
Not Available |
Full Name | Ka Legacy Inc |
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Speciality | Counselor - Professional |
Location | 103 W Fleeman, Manila, Arkansas |
Authorized Official Name and Position | Tonya Grissom-tatroe (CEO) |
Authorized Official Contact | 8709196585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ka Legacy Inc 103 W Fleeman Box 835 Manila AR 72442 Ph: (870) 919-6585 | Ka Legacy Inc 103 W Fleeman Manila AR 72442 Ph: (870) 919-6585 |
NPI Number | 1174396980 |
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Provider Enumeration Date | 11/02/2023 |
Last Update Date | 11/02/2023 |
Certification Date | 11/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174396980 | NPI | - | NPPES |
429713402 | Other | AR | BCBS |
429713402 | Other | AR | UNITED HEALTH |
Delta Behavioral Health, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 603 W Fleeman Ste 4, Manila, AR 72442 Phone: 870-570-0358 Fax: 870-570-0359 |