The Illumination Foundation
NPI #1982330452 in El Dorado, Arkansas
Provider Information
- NPI Number
- 1982330452
- Entity Type
- Organization
- Organization Name
- The Illumination Foundation
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jul 27, 2022
- Last Updated
- Jul 27, 2022
Practice Location
Authorized Official
- Name
- SHANNON NICOLE SMITH
- Title
- EXECUTIVE DIRECTOR
- Phone
- (870) 315-5137
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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