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State Of Arkansas
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Conway, Arkansas
NPI 1093840282

State Of Arkansas is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Conway, AR. State Of Arkansas practices in Conway, AR. The NPI Number for State Of Arkansas is 1093840282 and holds a License No. 139 (Arkansas).

The current practice location address for State Of Arkansas is 150 Siebenmorgen Rd, Conway, AR and can be reached out via phone at 501-329-6851 and via fax at 501-336-0508. You can also correspond with State Of Arkansas through the mailing address at 150 SIEBENMORGEN RD, CONWAY, AR - 72032 (mailing address contact number: 501-329-6851).

Location: 150 Siebenmorgen Rd, Conway, AR, 72032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093840282
Provider Name
State Of Arkansas
Credential
Provider Entity Type
Organization
Address
150 Siebenmorgen Rd, Conway, AR, 72032
Phone Number
501-329-6851
Fax Number
501-336-0508
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
109217213 05 AR
institution
Provider Business Practice Location Address Details
Address
150 Siebenmorgen Rd
City
Conway
State
Arkansas
Zip
72032
Phone Number
501-329-6851
Fax Number
501-336-0508
person
Provider Business Mailing Address Details
Address
150 Siebenmorgen Rd
City
Conway
State
Arkansas
Zip
72032
Phone Number
501-329-6851
Fax Number
501-336-0508
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
139 (Arkansas)
Definition
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.
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