NPI 1952427569

Creative Housing Iii-Mt Holly

Organisation Intellectual Disabilities Intermediate Care Facility El Dorado, AR

Practice location

Address: 1215 Mount Holly Rd, El Dorado, AR 71730-4236
Phone: (870) 863-8194
Fax: (870) 881-4600
Mailing address: 714 W Grove St, El Dorado, AR 71730-4416

Authorised official

Name: Barbara Staggs
Title: Business Manager
Phone: (870) 863-8194

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Arkansas →

Registry record

NPI: 1952427569
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 22 Aug 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.