NPI 1740645456

Providence Pcc of Springdale

Organisation Assisted Living Facility Springdale, AR

Practice location

Address: 2175 Orchard St, Springdale, AR 72764-6357
Phone: (479) 750-1511
Fax: (479) 750-2214

Authorised official

Name: Autumn Ching-Long
Title: Office Manager
Phone: (479) 750-1511

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 102 (AR)

Other Assisted Living Facility providers in Arkansas →

Registry record

NPI: 1740645456
Entity type: Organization
NPI issued: 22 Dec 2015
Record last updated: 22 Dec 2015

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.