Organization · Type 2 NPI

Providence PCC of Springdale

Assisted Living Facility · Springdale, AR

NPI number 1740645456 Active

Practice location

2175 Orchard St
Springdale, AR 72764-6357

Fax (479) 750-2214

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X102 (AR)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1740645456

Providence PCC of Springdale's National Provider Identifier is 1740645456, issued on Dec 22, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Springdale, AR. The record was last updated on Dec 22, 2015.