| Shiloh Health And Longevity | |
|
1794 E Joyce Blvd Ste 1 Fayetteville AR 72703-5257 | |
| (479) 443-7771 | |
| Not Available |
| Full Name | Shiloh Health And Longevity |
|---|---|
| Speciality | Clinic/center |
| Location | 1794 E Joyce Blvd Ste 1, Fayetteville, Arkansas |
| Authorized Official Name and Position | H. Daniel Atwood (OWNER) |
| Authorized Official Contact | 4794437771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiloh Health And Longevity 1794 E Joyce Blvd Ste 1 Fayetteville AR 72703-5257 Ph: (479) 443-7771 | Shiloh Health And Longevity 1794 E Joyce Blvd Ste 1 Fayetteville AR 72703-5257 Ph: (479) 443-7771 |
| NPI Number | 1871013367 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871013367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R-3739 (Arkansas) | Primary |
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