Legal Business Name
Deerview
Also Known As
Deerview
NPI Number
1467886564
NPI Type
Organization
Enumeration Date
08/26/2013
Specialties
(Taxonomies)Licenses
State
Arkansas
License Number
129
Contact
Information
Purpose
Mailing
Location
Address
502 WEST PENNINGTON
502 WEST PENNINGTON
City
Ola
Ola
State
AR
AR
Postal Code
72853
72853
Country
US
US
Telephone Number
(479) 489-5237
(479) 489-5237
Authorized Official
Name
Mr. Keith Head
Title or Position
OWNER
Telephone Number
(501) 514-5818
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/09/2014