State of Arkansas

NPI #1487781027 in Alexander, Arkansas

Provider Information

NPI Number
1487781027
Entity Type
Organization
Organization Name
State of Arkansas
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Feb 28, 2007
Last Updated
Jun 25, 2008

Practice Location

Address
14701 HIGHWAY 111
ZIP Code
72002-1742
Phone
(501) 847-3506

Authorized Official

Name
MR. JAMES A HELTON
Title
BUSINESS MANAGER
Phone
(501) 847-3506

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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