State Of Arkansas in Conway - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

State Of Arkansas - NPI 1093840282

State Of Arkansas is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Conway, Arkansas. State Of Arkansas practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for State Of Arkansas is 1093840282. The last update date is 2023-08-24.

State Of Arkansas's current location address is 150 Siebenmorgen Rd, Conway, Arkansas. You can contact this provider via phone number 5013296851 and fax number 5013360508. The mailing address for State Of Arkansas is 150 Siebenmorgen Rd, Conway, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Arkansas
Address 150 Siebenmorgen Rd, Conway, Arkansas
Phone Number 5013296851
Fax Number 5013360508
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUSINESS O
Authorized Official Name Sellers Sally
Telephone Number 5013296851

NPI Number Detail

NPI Number 1093840282
Provider Enumeration Date 2007-02-21
Last Updated Date 2023-08-24

Provider Mailing Address Detail

Address 150 Siebenmorgen Rd
City Conway
State Arkansas (AR)
Post Code 72032
Phone Number 5013296851
Fax Number 5013360508

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Licence No 139
Definition:
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
109217213 AR --

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FAQs about State Of Arkansas

What is the unique 10-digit identifier code assigned to State Of Arkansas by the Centers for Medicare & Medicaid Services?

The State Of Arkansas has been issued the NPI (National Provider Identifier) 1093840282 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where State Of Arkansas is physically located?

The State Of Arkansas is situated at the following address: 150 Siebenmorgen Rd, Conway, AR 72032.

What is State Of Arkansas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for State Of Arkansas is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320600000X.

When did the State Of Arkansas receive its 1093840282?

The State Of Arkansas was issued its 1093840282 on 2007-02-21, which is the date when the organization was assigned this unique identifier.

When was the information regarding State Of Arkansas most recently updated?

The details pertaining to the State Of Arkansas, including its address, specialty, and other relevant information, were last refreshed on 2023-08-24.

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