institution
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. You can also correspond with State Pf Arkansas through the mailing address at 4701 COLONY DR, JONESBORO, AR - 72404-9317 (mailing address contact number: 870-932-4043).

Location: 4701 Colony Dr, Jonesboro, AR, 72404-9317
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
State
Zip
72404-9317
Phone Number
870-932-4043
Fax Number
870-932-4459
person
Provider Business Mailing Address Details
Address
4701 Colony Dr
City
State
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
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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