Organization · Type 2 NPI
State of Arkansas
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Conway, AR
Practice location
150 Siebenmorgen Rd
Conway, AR 72032
Fax (501) 336-0508
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 139 (AR) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1093840282
State of Arkansas's National Provider Identifier is 1093840282, issued on Feb 21, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Conway, AR. The record was last updated on Aug 24, 2023.