| Prince Of Peace | |
|
501 E Mchaney Blytheville AR 72315-4535 | |
| (870) 278-2139 | |
| Not Available |
| Full Name | Prince Of Peace |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 501 E Mchaney, Blytheville, Arkansas |
| Authorized Official Name and Position | Barbara Mitchell (DIRECTOR) |
| Authorized Official Contact | 9723100240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prince Of Peace Po Box 170294 Irving TX 75017-0294 Ph: (972) 310-0240 | Prince Of Peace 501 E Mchaney Blytheville AR 72315-4535 Ph: (870) 278-2139 |
| NPI Number | 1417353095 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 11/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417353095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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