Sources for Community Independent Living Services, Inc.
NPI #1043583412 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1043583412
- Entity Type
- Organization
- Organization Name
- Sources for Community Independent Living Services, Inc.
- Primary Specialty
- Case Management
- Enumeration Date
- Feb 16, 2012
- Last Updated
- Feb 16, 2012
Practice Location
- Address
- 1918 N BIRCH AVE
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72703-2408
- Phone
- (479) 442-5600
Authorized Official
- Name
- JIM MATHER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (479) 442-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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