NPI 1659595551

Crittenden Adult Care Services L.L.C.

Organisation Adult Care Home Facility West Memphis, AR

Practice location

Address: 718 E Broadway St, West Memphis, AR 72301-4449
Phone: (870) 733-1235
Fax: (870) 733-0228

Authorised official

Name: Andrew Bass
Title: Owner
Phone: (870) 733-1235

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 120 (AR)

Other Custodial Care Facility providers in Arkansas →

Registry record

NPI: 1659595551
Entity type: Organization
NPI issued: 12 Apr 2007
Record last updated: 10 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.