NPI 1043583412

Sources for Community Independent Living Services, INC.

Organisation Case Management Agency Fayetteville, AR

Practice location

Address: 1918 N Birch Ave, Fayetteville, AR 72703-2408
Phone: (479) 442-5600

Authorised official

Name: Jim Mather
Title: Executive Director
Phone: (479) 442-5600

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence CS014 (AR)

Other Case Management providers in Arkansas →

Registry record

NPI: 1043583412
Entity type: Organization
NPI issued: 16 Feb 2012
Record last updated: 16 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.