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State Pf Arkansas
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Jonesboro, Arkansas
NPI 1386770030

State Pf Arkansas is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Jonesboro, AR. State Pf Arkansas practices in Jonesboro, AR. The NPI Number for State Pf Arkansas is 1386770030 and holds a License No. 137 (Arkansas).

The current practice location address for State Pf Arkansas is 4701 Colony Dr, Jonesboro, AR and can be reached out via phone at 870-932-4043 and via fax at 870-932-4459.

Location: 4701 Colony Dr, Jonesboro, AR, 72404-9317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386770030
Provider Name
State Pf Arkansas
Credential
Provider Entity Type
Organization
Address
4701 Colony Dr, Jonesboro, AR, 72404-9317
Phone Number
870-932-4043
Fax Number
870-932-4459
Provider Enumeration Date
02/26/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
109054213 05 AR
institution
Provider Business Practice Location Address Details
Address
4701 Colony Dr
City
Jonesboro
State
Arkansas
Zip
72404-9317
Phone Number
870-932-4043
Fax Number
870-932-4459
person
Provider Business Mailing Address Details
Address
4701 Colony Dr
City
Jonesboro
State
Arkansas
Zip
72404-9317
Phone Number
870-932-4043
Fax Number
870-932-4459
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
137 (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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