Peachtree Mena LLC
NPI #1518120740 in Mena, Arkansas
Provider Information
- NPI Number
- 1518120740
- Entity Type
- Organization
- Organization Name
- Peachtree Mena LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 8, 2008
- Last Updated
- Jul 8, 2008
Practice Location
Authorized Official
- Name
- MR. MICHAEL THOMAS SHEPARD I
- Title
- MANAGING MEMBER
- Phone
- (501) 276-8883
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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