Marys House of Restoration, Inc.
NPI #1114644598 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1114644598
- Entity Type
- Organization
- Organization Name
- Marys House of Restoration, Inc.
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Oct 26, 2022
- Last Updated
- Oct 26, 2022
Practice Location
- Address
- 9320 CLOVERHILL RD
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72205-4617
- Phone
- (501) 744-8799
Authorized Official
- Name
- MISS CARLA M GRANTT
- Title
- CHEIF EXECUTIVE OFFICER
- Phone
- (501) 744-8799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prevention Professional |
| Case Manager/Care Coordinator |
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