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NPI Code Detail

MEDICARE: SARAH D PRESLEY RECOVERY ASSISTANT

MEDICARE: SARAH D PRESLEY RECOVERY ASSISTANT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker12223-MAR

General Provider Information

NPI Number : 1417471350
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH D PRESLEY RECOVERY ASSISTANT
Provider Business Mailing Address
First Line : 218 DOGWOOD HOLLOW RD
Second Line :
City : MOUNTAIN VIEW
State : AR
Zip : 72560-7942
Country : US
Telephone Number : 501-303-3105
Fax Number :
Provider Business Practice Location Address
First Line : 218 DOGWOOD HOLLOW RD
Second Line :
City : MOUNTAIN VIEW
State : AR
Zip : 72560-7942
Country : US
Telephone Number : 501-303-3105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2017
Last Update Date : 04/09/2026

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