Organization · Type 2 NPI
State of Arkansas
Intellectual Disabilities Intermediate Care Facility · Alexander, AR
NPI number
1487781027
Active
Practice location
14701 Highway 111
Alexander, AR 72002-1742
Fax (501) 847-3688
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 138 (AR) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1487781027
State of Arkansas's National Provider Identifier is 1487781027, issued on Feb 28, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Alexander, AR. The record was last updated on Jun 25, 2008.