CREATIVE HOUSING III-MT HOLLY NPI 1952427569

NPI Information

CREATIVE HOUSING III-MT HOLLY is an intermediate care facility mentally retarded in El Dorado, AR. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CREATIVE HOUSING III-MT HOLLY NPI is 1952427569. The provider is registered as an organization entity type.

The provider's business location address is:

1215 MOUNT HOLLY RD
EL DORADO, AR
ZIP 71730-236
Phone: (870) 863-8194
Fax: (870) 881-4600

The provider's authorized official is Barbara Staggs .
The authorized official title is Business Manager and has the following contact phone number (870) 863-8194.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.

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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