Edith Fava

NPI 1477924041 · on the registry since 2015 · sole proprietor

Practice

Address: 1659 S Highway 65 82
Lake Village, AR 71653
Phone: (870) 265-4191
Organisation at this address: Tlc Early Learning And Play Center
Arrowstar Living Assistance Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: AR
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas