Healthcare Provider Details

I. General information

NPI: 1780963520
Provider Name (Legal Business Name): HORIZON HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 12/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 SW 5TH ST
BENTONVILLE AR
72712-5711
US

IV. Provider business mailing address

616 SW 5TH ST
BENTONVILLE AR
72712-5711
US

V. Phone/Fax

Practice location:
  • Phone: 479-845-1445
  • Fax:
Mailing address:
  • Phone: 479-845-1445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1629
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. JANICE LABRIE
Title or Position: PRESIDENT
Credential: DC, FIAMA
Phone: 479-845-1445