Doctor Name: | HAZEL DILLEHAY |
NPI Number: | 1851693725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R53953 |
Business Practice Address: | 1910 Albert Pike Rd Suite H Hot Springs, AR - 719134011 |
Business Phone Number: | 5016246557 |
Business Fax Number: | 5016241481 |
Mailing Address: | 1910 Albert Pike Rd, Suite H HOT SPRINGS |
State: | AR |
Postal Code: | 719134011 |
Phone Number: | 5016246557 |
Fax Number: | 5016241481 |
NPI Enumeration Date: | 11/29/2010 |
NPI Last Update Date: | 11/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | R53953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |