Angela Marie Roberts, MHPP

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

NPI 1780835009 · NPPES record last updated Oct 6, 2008

Key facts

NPI
1780835009
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
106 W 3Rd St
Imboden, AR 72434-9114
Phone
(870) 869-1500
Fax
(870) 869-1505
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Therapy and Wellness Current Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

106 W 3Rd St
Imboden, AR 72434-9114

Mailing address

106 W 3Rd St
Imboden, AR 72434-9114
Phone (870) 869-1500

Other providers in Imboden, AR

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

Sources for this page

Verify at the official NPI Registry.