NPI 1851916738

Community Living Arrangements

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility El Dorado, AR

Practice location

Address: 714 W Grove St, El Dorado, AR 71730-4416
Phone: (870) 863-8194

Authorised official

Name: Barbara Staggs
Title: Cfo
Phone: (870) 904-8499

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Arkansas →

Registry record

NPI: 1851916738
Entity type: Organization
NPI issued: 16 Jun 2020
Record last updated: 16 Jun 2020

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.