Provider Demographics
NPI:1831578608
Name:COLE, RITA
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:COLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1131
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72602-1131
Mailing Address - Country:US
Mailing Address - Phone:870-204-6016
Mailing Address - Fax:870-782-2914
Practice Address - Street 1:716 S PINE ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-5830
Practice Address - Country:US
Practice Address - Phone:870-204-6016
Practice Address - Fax:870-782-2914
Is Sole Proprietor?:No
Enumeration Date:2015-05-26
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator