Open Door Health and Community Services

NPI #1366864530 in West Fork, Arkansas

Provider Information

NPI Number
1366864530
Entity Type
Organization
Organization Name
Open Door Health and Community Services
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jan 7, 2014
Last Updated
Jan 28, 2014

Practice Location

Address
425 N CENTENNIAL AVE
Address 2
SUITE A
ZIP Code
72774-2708
Phone
(479) 294-6151

Authorized Official

Name
LELA R. SHIPMAN, APRN
Title
EXECUTIVE DIRECTOR
Phone
(479) 294-6151

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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