Madison Residential Care Facility
NPI #1467780510 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1467780510
- Entity Type
- Organization
- Organization Name
- Madison Residential Care Facility
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Dec 1, 2009
- Last Updated
- Dec 1, 2009
Practice Location
- Address
- 2821 W DIXON RD
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72206-4256
- Phone
- (501) 888-4080
Authorized Official
- Name
- MR. SY NIKSEFAT
- Title
- OWNER
- Phone
- (501) 888-4080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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