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NPI Code Detail

MEDICARE: MRS. ARLENE HORTON

MEDICARE: MRS. ARLENE HORTON
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
1171M00000XCase Manager/Care Coordinator

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932353448
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ARLENE HORTON
Provider Business Mailing Address
First Line : 4702 W COMMERCIAL DR
Second Line : SUITE C
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-7068
Country : US
Telephone Number : 501-812-5545
Fax Number : 501-812-5546
Provider Business Practice Location Address
First Line : 6210 BASELINE RD
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-4728
Country : US
Telephone Number : 501-265-0302
Fax Number : 501-265-0300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2008
Last Update Date : 02/15/2022

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