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CHUCKS DEVELOPEMENTAL OUTREACH INC. NPI 1679701775


NPI Information

NPI: 1679701775
Provider Name: CHUCKS DEVELOPEMENTAL OUTREACH INC.

Doing Business As: CHUCKS DEVELOPEMENTAL OUTREACH INC

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
2300 OUACHITA 4
STEPHENS, AR
ZIP 71764
Phone: (807) 879-6149
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CHUCKS DEVELOPEMENTAL OUTREACH INC. is a residential treatment facility, intellectual and/or developmental disabilities in Stephens, AR. The provider is 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. CHUCKS DEVELOPEMENTAL OUTREACH INC. NPI is 1679701775. The provider is registered as an organization entity type.
The provider Is Doing Business As Chucks Developemental Outreach Inc.

The provider's business location address is:

2300 OUACHITA 4
STEPHENS, AR
ZIP 71764-196
Phone: (807) 879-6149
Fax: (870) 879-1998

The provider's authorized official is Charles Roberson .
The authorized official title is Ceo and has the following contact phone number (870) 879-6149.

The enumeration date for this NPI number is 6/26/2009 and was last updated on 6/26/2009.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesARKANSASYes

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: 5/5/2024

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