Habilitation Center, Llc in Fordyce - Intermediate Care Facility, Intellectual Disabilities
Habilitation Center, Llc - NPI 1952482036
Habilitation Center, Llc is a Intermediate Care Facility, Intellectual Disabilities in Fordyce, Arkansas. Habilitation Center, Llc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Habilitation Center, Llc is 1952482036. The last update date is 2019-12-06.
Habilitation Center, Llc's current location address is 1828 Industrial Dr, Fordyce, Arkansas. You can contact this provider via phone number 8703528203 and fax number 8703525277. The mailing address for Habilitation Center, Llc is 1828 Industrial Dr, Fordyce, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Habilitation Center, Llc |
|---|---|
| Address | 1828 Industrial Dr, Fordyce, Arkansas |
| Phone Number | 8703528203 |
| Fax Number | 8703525277 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EVP & GENE |
|---|---|
| Authorized Official Name | Howard Christopher |
| Telephone Number | 6158616000 |
NPI Number Detail
| NPI Number | 1952482036 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2019-12-06 |
Provider Mailing Address Detail
| Address | 1828 Industrial Dr |
|---|---|
| City | Fordyce |
| State | Arkansas (AR) |
| Post Code | 71742 |
| Phone Number | 8703528203 |
| Fax Number | 8703525277 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 422 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 135301725 | AR | -- | |
| 140531726 | AR | -- | |
| 109332213 | AR | -- |
Post Comment/ Review Below
What is the Habilitation Center, Llc's unique identification number?
The Habilitation Center, Llc has been assigned the NPI (National Provider Identifier) Number 1952482036 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Habilitation Center, Llc's physical address?
The Habilitation Center, Llc is physically located at 1828 Industrial Dr, in the city of Fordyce, AR, with the postal code 71742.
What is the Habilitation Center, Llc's area of specialization and corresponding taxonomy classification?
The Habilitation Center, Llc's specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1952482036 to Habilitation Center, Llc?
The Habilitation Center, Llc received its 1952482036 assignment from the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date were the details pertaining to Habilitation Center, Llc last refreshed?
The information related to the Habilitation Center, Llc, including its address, specialty, and other relevant details, was last updated on 2019-12-06.