NPI 1700306107

Northwest Regional Supportive Living LLC

Organisation Assisted Living Facility Harrison, AR

Practice location

Address: 1400 Old Bergman Rd, Harrison, AR 72601-3078
Phone: (870) 204-5102
Mailing address: PO Box 2568, Harrison, AR 72602-2568

Authorised official

Name: Todd Parker Hightower
Title: Manager
Phone: (479) 471-9797

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 430 (AR)

Other Assisted Living Facility providers in Arkansas →

Registry record

NPI: 1700306107
Entity type: Organization
NPI issued: 27 Jun 2017
Record last updated: 27 Jun 2017

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.