| Loah Community Development Center | |
|
110 Ponderosa Ln Suite C Hot Springs Village AR 71909 | |
| (501) 655-4242 | |
| (501) 922-5660 |
| Full Name | Loah Community Development Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 110 Ponderosa Ln, Hot Springs Village, Arkansas |
| Authorized Official Name and Position | Kimberly Taylor (OWNER) |
| Authorized Official Contact | 5016554242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loah Community Development Center 110 Ponderosa Ln Suite C Hot Springs Village AR 71909 Ph: (501) 655-4242 | Loah Community Development Center 110 Ponderosa Ln Suite C Hot Springs Village AR 71909 Ph: (501) 655-4242 |
| NPI Number | 1942795141 |
|---|---|
| Provider Enumeration Date | 06/29/2018 |
| Last Update Date | 06/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942795141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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