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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. You can also correspond with Grand Manor through the mailing address at 1960 HIGHWAY 425 N, MONTICELLO, AR - 71655-8862 (mailing address contact number: 870-412-4400).

Location: 1960 Highway 425 N, Monticello, AR, 71655-8862
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Monticello
State
Arkansas
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
Monticello
State
Arkansas
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
261Q00000X
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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