| Organization Name: | OZARK WELLNESS INC |
| NPI Number: | 1629249883 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM G COUTTS (DOCTOR) |
| Mailing Address: | 4898 Hwy 178 W Lakeview |
| State: | AR US |
| Postal Code: | 726420042 |
| Phone Number: | 8704314371 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2008 |
| NPI Last Update Date: | 03/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | AR-E-1525 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |