H4L Ranch, Inc.
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Walnut Ridge, AR
NPI 1780134098 · NPPES record last updated Jan 12, 2017
Key facts
- NPI
- 1780134098
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- License
- 239 (AR)
- Legal business name
- H4L RANCH, INC.
- Practice address
- 853 US 63
Walnut Ridge, AR 72476 - Phone
- (870) 273-5376
- NPI assigned
- Oct 11, 2016
- Organization subpart
- No
Authorized official
- Name
- Tony Stout
- Title
- Chairman
- Phone
- (870) 273-5376
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- H4L Ranch Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 239 | AR | Yes |
Addresses
Primary practice location
853 US 63
Walnut Ridge, AR 72476
Mailing address
1996 Green 747 Road
Paragould, AR 72451
Phone (870) 273-5376
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- Amber Hampton
- Alexis Hart
- Spencer Hart
- Samantha L. Hatfield
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All providers in Walnut Ridge, AR · Mental Illness Community Based Residential Treatment Facility in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2017. 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.