Healthcare Provider Details

I. General information

NPI: 1508454554
Provider Name (Legal Business Name): ALIGNED FAMILY WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2021
Last Update Date: 09/17/2021
Certification Date: 09/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 CENTRAL AVE STE 2A-4
HOT SPRINGS AR
71901-5300
US

IV. Provider business mailing address

PO BOX 394
HOT SPRINGS NATIONAL PARK AR
71902-0394
US

V. Phone/Fax

Practice location:
  • Phone: 501-520-7772
  • Fax: 501-441-6875
Mailing address:
  • Phone: 501-520-7772
  • Fax: 501-441-6875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. DANA GRENMAN
Title or Position: OWNER
Credential: DC
Phone: 501-617-0674