Organization · Type 2 NPI
State of Arkansas
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Arkadelphia, AR
Practice location
1 Prator Drive
Arkadelphia, AR 71923
Fax (870) 230-8424
Mailing address
PO Box 8181
Little Rock, AR 72203-8181
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 320900000X (AR) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1407988355
State of Arkansas's National Provider Identifier is 1407988355, issued on Mar 9, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Arkadelphia, AR. The record was last updated on Jun 26, 2008.