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NORTHWEST REGIONAL SUPPORTIVE LIVING LLC NPI 1700306107


NPI Information

NPI: 1700306107
Provider Name: NORTHWEST REGIONAL SUPPORTIVE LIVING LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1400 OLD BERGMAN RD
HARRISON, AR
ZIP 72601
Phone: (870) 204-5102
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NORTHWEST REGIONAL SUPPORTIVE LIVING LLC is an assisted living facility in Harrison, AR. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. NORTHWEST REGIONAL SUPPORTIVE LIVING LLC NPI is 1700306107. The provider is registered as an organization entity type.

The provider's business location address is:

1400 OLD BERGMAN RD
HARRISON, AR
ZIP 72601-078
Phone: (870) 204-5102

The provider's authorized official is Todd Parker Hightower .
The authorized official title is Manager and has the following contact phone number (479) 471-9797.

The enumeration date for this NPI number is 6/27/2017 and was last updated on 6/27/2017.


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
1310400000XAssisted Living Facility430ARKANSASYes

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: 11/14/2023

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