| |
314 Longhorn Dr, Viola, AR 72583-0380 | |
(870) 612-1716 | |
(870) 458-2214 |
Full Name | |
---|---|
Type | Facility |
Speciality | Local Education Agency (lea) |
Location | 314 Longhorn Dr, Viola, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306064084 | NPI | - | NPPES |
125139743 | Medicaid | AR | |
121769742 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
251300000X | Local Education Agency (lea) | (Arkansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 380, Viola, AR 72583-0380 Ph: (870) 458-2511 | 314 Longhorn Dr, Viola, AR 72583-0380 Ph: (870) 612-1716 |