Advantage Program

NPI #1467862821 in Jonesboro, Arkansas

Provider Information

NPI Number
1467862821
Entity Type
Organization
Organization Name
Advantage Program
Primary Specialty
Voluntary or Charitable
Enumeration Date
May 6, 2014
Last Updated
May 6, 2014

Practice Location

Address
3529 E NETTLETON AVE
Address 2
STE I
ZIP Code
72401-5590
Phone
(870) 336-3360

Authorized Official

Name
TERRELL JENKINS, B.A. , A.D.C.; AACJ
Title
PRESIDENT
Phone
(870) 919-0285

Specialties & Taxonomy Codes

Specialty
Voluntary or Charitable

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