HABILITATION CENTER LLC NPI 1659135358

NPI Information

NPI: 1659135358
Provider Name: HABILITATION CENTER, LLC
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1828 INDUSTRIAL DR
FORDYCE, AR
ZIP 71742
Phone: (870) 352-8203
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HABILITATION CENTER, LLC is an intermediate care facility mentally retarded in Fordyce, AR. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HABILITATION CENTER, LLC NPI is 1659135358. The provider is registered as an organization entity type.

The provider's business location address is:

1828 INDUSTRIAL DR
FORDYCE, AR
ZIP 71742-110
Phone: (870) 352-8203
Fax: (870) 352-5311

The provider's authorized official is Brian Phillip Farley .
The authorized official title is Vice President & Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 2/13/2024 and was last updated on 2/13/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

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

NPI Synchronization or Removal

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