STATE OF ARKANSAS NPI 1407988355

NPI Information

STATE OF ARKANSAS is a community based residential treatment facility, intellectual and/or developmental disabilities in Arkadelphia, AR. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. STATE OF ARKANSAS NPI is 1407988355. The provider is registered as an organization entity type.
The provider Is Doing Business As Arkadelphia Hdc.

The provider's business location address is:

1 PRATOR DRIVE
ARKADELPHIA, AR
ZIP 71923
Phone: (870) 246-8011
Fax: (870) 230-8424

The provider's authorized official is Margaret Green .
The authorized official title is Superintendent and has the following contact phone number (870) 246-8011.

The CLIA number assigned to this NPI record is 04D0920857 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 6/26/2008.

Taxonomy Codes

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Other Identifiers

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