Most Relevant Information
Provider Data
| NPI Number: | 1003182320 |
| Provider Name: | ALLEN NELSON MHPP |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/30/2012 |
| Last Updated: | 03/30/2012 |
Provider Practice Location
1014 MAIN ST
CONWAY
AR
720325426
Practice Location Phone/Fax
| Phone: | 5013360511 |
| Fax: | 5013364034 |
Provider Mailing Location
1014 MAIN ST
CONWAY
AR
720325426
Provider Mailing Phone/Fax
| Phone: | 5013360511 |
| Fax: | 5013364034 |