NPI 1487781027

State of Arkansas

Organisation Intellectual Disabilities Intermediate Care Facility Alexander, AR

Practice location

Address: 14701 Highway 111, Alexander, AR 72002-1742
Phone: (501) 847-3506
Fax: (501) 847-3688

Authorised official

Name: James a Helton
Title: Business Manager
Phone: (501) 847-3506

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 138 (AR)

Other Intermediate Care Facility, Intellectual Disabilities providers in Arkansas →

Registry record

NPI: 1487781027
Entity type: Organization
NPI issued: 28 Feb 2007
Record last updated: 25 Jun 2008

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.