Provider Demographics
NPI:1336283845
Name:JANET TOWNSLEY
Entity Type:Organization
Organization Name:JANET TOWNSLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:870-269-3567
Mailing Address - Street 1:1152 OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:AR
Mailing Address - Zip Code:72560-8320
Mailing Address - Country:US
Mailing Address - Phone:870-269-3567
Mailing Address - Fax:
Practice Address - Street 1:1152 OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:AR
Practice Address - Zip Code:72560-8320
Practice Address - Country:US
Practice Address - Phone:870-269-7529
Practice Address - Fax:870-269-2840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR439171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty