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TEXARKANA RESOURCES FOR THE DISABLED INC. NPI 1508998261


NPI Information

NPI: 1508998261
Provider Name: TEXARKANA RESOURCES FOR THE DISABLED, INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
3015 E 19TH ST
TEXARKANA, AR
ZIP 71854
Phone: (870) 774-9675
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TEXARKANA RESOURCES FOR THE DISABLED, INC. is a day training developmentally disabled services in Texarkana, AR. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. TEXARKANA RESOURCES FOR THE DISABLED, INC. NPI is 1508998261. The provider is registered as an organization entity type.

The provider's business location address is:

3015 E 19TH ST
TEXARKANA, AR
ZIP 71854-831
Phone: (870) 774-9675
Fax: (870) 773-0578

The provider's authorized official is Shannon A. West .
The authorized official title is Cfo and has the following contact phone number (870) 774-9675.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 1/20/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase ManagementNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
3251C00000XDay Training, Developmentally Disabled ServicesARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1132807724MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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