Organization · Type 2 NPI
State PF Arkansas
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Jonesboro, AR
Practice location
4701 Colony Dr
Jonesboro, AR 72404-9317
Fax (870) 932-4459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 137 (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.
Another provider at this address
About NPI 1386770030
State PF Arkansas's National Provider Identifier is 1386770030, issued on Feb 26, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Jonesboro, AR. The record was last updated on Aug 16, 2023.