Siloam Springs Adult Development INC
NPI #1992979504 in Siloam Springs, Arkansas
Provider Information
- NPI Number
- 1992979504
- Entity Type
- Organization
- Organization Name
- Siloam Springs Adult Development INC
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Apr 15, 2008
- Last Updated
- Apr 15, 2008
Practice Location
- Address
- 500 N COUNTRY CLUB RD
- City
- Siloam Springs
- State
- Arkansas
- ZIP Code
- 72761-2920
- Phone
- (479) 524-5911
Authorized Official
- Name
- BRADLEY G DEZURIK
- Title
- ADMINISTRATOR
- Phone
- (479) 524-5911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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