| The Ray Dae | |
|
701 Madison Dr Prairie Grove AR 72753-2871 | |
| (479) 715-3875 | |
| Not Available |
| Full Name | The Ray Dae |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 701 Madison Dr, Prairie Grove, Arkansas |
| Authorized Official Name and Position | Jennifer Jane Cook (OWNER) |
| Authorized Official Contact | 4797153875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ray Dae 701 Madison Dr Prairie Grove AR 72753-2871 Ph: (479) 715-3875 | The Ray Dae 701 Madison Dr Prairie Grove AR 72753-2871 Ph: (479) 715-3875 |
| NPI Number | 1114771920 |
|---|---|
| Provider Enumeration Date | 04/16/2024 |
| Last Update Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114771920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
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