Antonio Allen, RECOVERY ASSISTANT
Individual provider Active NPI Case Manager/Care Coordinator · Conway, AR
NPI 1306277124 · NPPES record last updated Dec 4, 2013
Key facts
- NPI
- 1306277124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 132 Lower Ridge Rd
Conway, AR 72032-8518 - Phone
- (501) 548-9905
- NPI assigned
- Dec 4, 2013
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AR | Yes |
Addresses
Primary practice location
132 Lower Ridge Rd
Conway, AR 72032-8518
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344
Other providers in Conway, AR
- Thomas Gene Alfano
- Ahmed Ali
- Align Counseling & Wellness
- Nedra Allen-Jones
- Amber Allen
- Ashley Allen
- Makayla Michelle Allen
- Vicky Lynn Allen
- Amber Allison
- Scott Allison
All providers in Conway, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.