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State Of Arkansas
Intellectual Disabilities Intermediate Care Facility in Alexander, Arkansas
NPI 1487781027

State Of Arkansas is a Intellectual Disabilities Intermediate Care Facility based in Alexander, AR. State Of Arkansas practices in Alexander, AR. The NPI Number for State Of Arkansas is 1487781027 and holds a License No. 138 (Arkansas).

The current practice location address for State Of Arkansas is 14701 Highway 111, Alexander, AR and can be reached out via phone at 501-847-3506 and via fax at 501-847-3688.

Location: 14701 Highway 111, Alexander, AR, 72002-1742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487781027
Provider Name
State Of Arkansas
Credential
Provider Entity Type
Organization
Address
14701 Highway 111, Alexander, AR, 72002-1742
Phone Number
501-847-3506
Fax Number
501-847-3688
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
109053213 05 AR
institution
Provider Business Practice Location Address Details
Address
14701 Highway 111
City
Alexander
State
Arkansas
Zip
72002-1742
Phone Number
501-847-3506
Fax Number
501-847-3688
person
Provider Business Mailing Address Details
Address
14701 Highway 111
City
Alexander
State
Arkansas
Zip
72002-1742
Phone Number
501-847-3506
Fax Number
501-847-3688
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
138 (Arkansas)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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