MADISON RESIDENTIAL CARE FACILITY NPI 1467780510

NPI Information

MADISON RESIDENTIAL CARE FACILITY is a residential treatment facility physical disabilities in Little Rock, AR. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. MADISON RESIDENTIAL CARE FACILITY NPI is 1467780510. The provider is registered as an organization entity type.
The provider Is Doing Business As Madison Health And Rehab.

The provider's business location address is:

2821 W DIXON RD
LITTLE ROCK, AR
ZIP 72206-256
Phone: (501) 888-4080
Fax: (501) 486-9119

The provider's authorized official is Sy Niksefat .
The authorized official title is Owner and has the following contact phone number (501) 888-4080.

The enumeration date for this NPI number is 12/1/2009 and was last updated on 12/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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