Woodridge Of Forrest City, Llc in Forrest City - Psychiatric Residential Treatment Facility
Woodridge Of Forrest City, Llc - NPI 1225211741
Woodridge Of Forrest City, Llc is a Psychiatric Residential Treatment Facility in Forrest City, Arkansas. Woodridge Of Forrest City, Llc practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Woodridge Of Forrest City, Llc is 1225211741. The last update date is 2021-11-23.
Woodridge Of Forrest City, Llc's current location address is 603 Kittel Rd, Forrest City, Arkansas. You can contact this provider via phone number 8706333200. The mailing address for Woodridge Of Forrest City, Llc is 603 Kittel Rd, Forrest City, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Woodridge Of Forrest City, Llc |
|---|---|
| Address | 603 Kittel Rd, Forrest City, Arkansas |
| Phone Number | 8706333200 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AVP OF ADM |
|---|---|
| Authorized Official Name | Gerber Rochelle |
| Telephone Number | 4705547903 |
NPI Number Detail
| NPI Number | 1225211741 |
|---|---|
| Provider Enumeration Date | 2007-12-06 |
| Last Updated Date | 2021-11-23 |
Provider Mailing Address Detail
| Address | 603 Kittel Rd |
|---|---|
| City | Forrest City |
| State | Arkansas (AR) |
| Post Code | 723357728 |
| Phone Number | 8706333200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | APPROVED 12/ |
|
Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 166572125 | AR | -- |
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What is the unique identifier code issued to Woodridge Of Forrest City, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Woodridge Of Forrest City, Llc has been assigned the NPI (National Provider Identifier) 1225211741. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Woodridge Of Forrest City, Llc?
The Woodridge Of Forrest City, Llc is situated at 603 Kittel Rd, in the city of Forrest City, state of AR, with the zip code 723357728.
What is Woodridge Of Forrest City, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Woodridge Of Forrest City, Llc's area of specialization is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code that categorizes this field of practice is 323P00000X.
On what date did the Woodridge Of Forrest City, Llc receive its 1225211741 assignment from the Centers for Medicare & Medicaid Services?
The Woodridge Of Forrest City, Llc was assigned its 1225211741 by the Centers for Medicare & Medicaid Services on 2007-12-06.
As of what date were the Woodridge Of Forrest City, Llc's details last updated?
The information pertaining to the Woodridge Of Forrest City, Llc, including its address, specialty, and other details, was most recently updated on 2021-11-23.