IndividualActive
Alicia Wallace
NPI 1568601664 · Day Training/Habilitation Specialist · Trumann, AR
Provider details
- NPI number
- 1568601664
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1005 Balcom Ln
Trumann, AR 72472-9502
Phone: (870) 483-1461
Fax: (870) 483-6520
Approximate (ZIP-level) locationGet directions
Mailing address
1005 Balcom Ln
Trumann, AR 72472-9502
Registry dates
- Enumerated
- 2009-02-12
- Last updated
- 2009-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.