5 Residential LLC

NPI #1104398460 in Jonesboro, Arkansas

Provider Information

NPI Number: 1104398460
Entity Type: Organization
Organization Name: 5 Residential LLC
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Dec 27, 2018
Last Updated: Dec 27, 2018

Practice Location

Address: 2209 GRANT AVE STE A
City: Jonesboro
State: Arkansas
ZIP Code: 72401-6195
Phone: (870) 333-5300

Authorized Official

Name: BEAU HUNTER EAVES
Title: CFO
Phone: (870) 273-2096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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