| Margie's House | |
|
5830 Hwy 65 South Pine Bluff AR 71601 | |
| (870) 536-1600 | |
| (870) 536-1601 |
| Full Name | Margie's House |
|---|---|
| Speciality | Social Worker |
| Location | 5830 Hwy 65 South, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Antonio Jermaine Anderson (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 8705361600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Margie's House 5830 Hwy 65 South Pine Bluff AR 71601 Ph: (870) 536-1600 | Margie's House 5830 Hwy 65 South Pine Bluff AR 71601 Ph: (870) 536-1600 |
| NPI Number | 1700150471 |
|---|---|
| Provider Enumeration Date | 02/28/2012 |
| Last Update Date | 10/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700150471 | NPI | - | NPPES |
| 193355744 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (Arkansas) | Primary |
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