Northwest Regional Supportive Living LLC

NPI #1700306107 in Harrison, Arkansas

Provider Information

NPI Number
1700306107
Entity Type
Organization
Organization Name
Northwest Regional Supportive Living LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 27, 2017
Last Updated
Jun 27, 2017

Practice Location

Address
1400 OLD BERGMAN RD
ZIP Code
72601-3078
Phone
(870) 204-5102

Authorized Official

Name
TODD PARKER HIGHTOWER
Title
MANAGER
Phone
(479) 471-9797

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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