institution
Grand Manor
Clinic/Center in Monticello, Arkansas
NPI 1508251786

Grand Manor is a Clinic/Center based in Monticello, AR. Grand Manor practices in Monticello, AR. The NPI Number for Grand Manor is 1508251786 and holds a License No. 106 (Arkansas).

The current practice location address for Grand Manor is 1960 Highway 425 N, Monticello, AR and can be reached out via phone at 870-412-4400 and via fax at 870-412-4506.

Location: 1960 Highway 425 N, Monticello, AR, 71655-8862
institution
Provider Profile Details
NPI Number
1508251786
Provider Name
Grand Manor
Credential
Provider Entity Type
Organization
Address
1960 Highway 425 N, Monticello, AR, 71655-8862
Phone Number
870-412-4400
Fax Number
870-412-4506
Provider Enumeration Date
04/03/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
206724794 05 AR
institution
Provider Business Practice Location Address Details
Address
1960 Highway 425 N
City
State
Zip
71655-8862
Phone Number
870-412-4400
Fax Number
870-412-4506
person
Provider Business Mailing Address Details
Address
1960 Highway 425 N
City
State
Zip
71655-8862
Phone Number
870-412-4400
Fax Number
870-412-4506
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
106 (Arkansas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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