PROVIDENCE PCC OF SEARCY LLC NPI 1730422940

NPI Information

PROVIDENCE PCC OF SEARCY LLC is an assisted living facility in Searcy, 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. PROVIDENCE PCC OF SEARCY LLC NPI is 1730422940. The provider is registered as an organization entity type.

The provider's business location address is:

3014 E MOORE AVE
SEARCY, AR
ZIP 72143-069
Phone: (501) 268-4169

The provider's authorized official is Lisa Jackson .
The authorized official title is Administrator and has the following contact phone number (501) 268-4169.

The enumeration date for this NPI number is 4/5/2013 and was last updated on 4/5/2013.

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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