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State Of Arkansas
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arkadelphia, Arkansas
NPI 1407988355

State Of Arkansas is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Little Rock, AR. State Of Arkansas practices in Arkadelphia, AR. The NPI Number for State Of Arkansas is 1407988355 and holds a License No. 320900000X (Arkansas).

The current practice location address for State Of Arkansas is 1 Prator Drive, Arkadelphia, AR and can be reached out via phone at 870-246-8011 and via fax at 870-230-8424.

Location: 1 Prator Drive, Arkadelphia, AR, 72203-8181
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407988355
Provider Name
State Of Arkansas
Credential
Provider Entity Type
Organization
Address
1 Prator Drive, Arkadelphia, AR, 72203-8181
Phone Number
870-246-8011
Fax Number
870-230-8424
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
109055213 05 AR
institution
Provider Business Practice Location Address Details
Address
1 Prator Drive
City
Arkadelphia
State
Arkansas
Zip
71923
Phone Number
870-246-8011
Fax Number
870-230-8424
person
Provider Business Mailing Address Details
Address
1 Prator Drive
City
Arkadelphia
State
Arkansas
Zip
71923
Phone Number
870-246-8011
Fax Number
870-230-8424
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
320900000X (Arkansas)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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