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TIPPIN SURGICAL SUPPLY

Adult Care Home

Ola, Arkansas

Provider NPI: 1427139567

Organization Information:
Organization Name:  TIPPIN SURGICAL SUPPLY


Practice Location:
502 WEST PENNINGTON STREET  OLA, AR 72853 US
Tel: 479-489-5237  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
AR0339347500

Other Provider Identifiers:

IssuerNumberStateType
122975741AR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS AR - Page 1



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