NPI 1053546176
Conway County Community Service INC.
Practice location
- Address
- 818 N Creek Dr, Conway, AR 72032-4711
- Phone
- (501) 327-9788
- Fax
- (501) 327-9843
Authorised official
- Name
- Angela Lynn Wheat
- Title
- Pa/Credentialing Clerk
- Phone
- (501) 354-4589
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1053546176
- Entity type
- Organization
- NPI issued
- 19 May 2009
- Record last updated
- 3 Mar 2021
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.