Joshua Haynie
Case Manager/Care Coordinator in Little Rock, AR. Individual provider (NPI-1).
NPI number1265908024
StatusActive
Last updated in NPPESOct 19, 2018
Details
- NPI
- 1265908024
- Entity type
- Individual (NPI-1)
- Name
- Joshua Haynie
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2018
- Last updated
- Oct 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
11700 Kanis Rd Ste 2Little Rock, AR 72211-3794
Phone 500-122-1194
Mailing address
11700 Kanis Rd Ste 2Little Rock, AR 72211-3794
Phone 500-122-1194
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