Whalio Doctors

NPI 1942008859

Redd Willow Supportive Living, L.L.C.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Pine Bluff, AR

Practice location

Address
3610 W 9th Ave, Pine Bluff, AR 71603-1906
Phone
(870) 489-7918

Authorised official

Name
Sherry Latrice Scott
Title
Ceo
Phone
(870) 489-7918

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X
Respite Care
Respite Care Facility Taxonomy 385H00000X

Registry record

NPI
1942008859
Entity type
Organization
NPI issued
5 Mar 2025
Record last updated
5 Mar 2025

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.