Laiken Boen, RECOVERY ASSISTANT

Individual provider Active NPI Case Manager/Care Coordinator · Clarksville, AR

NPI 1144535592 · NPPES record last updated Aug 10, 2010

Key facts

NPI
1144535592
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
522 Mill Rd
Clarksville, AR 72830-8511
Phone
(479) 705-1301
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X AR Yes

Addresses

Primary practice location

522 Mill Rd
Clarksville, AR 72830-8511

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344

Other providers in Clarksville, AR

All providers in Clarksville, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.