Grand Manor
Grand Manor is a Clinic/Center in Monticello, Arkansas. Licensed in Arkansas. Registered with an NPI since 2015.
- Licensed in
- AR
- In the registry since
- 2015
Practice location Address checks out
1960 Highway 425 NMonticello, AR 71655-8862
Phone: (870) 412-4400
Fax: (870) 412-4506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 106 (AR) |
|---|
Record details
| NPI number | 1508251786 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Helms — Secretary · (870) 412-4400 |
| NPI enumerated | April 3, 2015 |
| Last updated in NPPES | April 3, 2015 |
| Mailing address | 1960 Highway 425 N, Monticello, AR 71655-8862 |
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