Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATE OF ARKANSAS
Active OrganizationSTATE OF ARKANSAS is a Intellectual Disabilities Residential Treatment Facility organization located in CONWAY, Arkansas. NPI 1093840282 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · CONWAY, AR
Registration Details
- NPI Number
- 1093840282
- Provider Type
- Organization
- NPI Issued
- Feb 21, 2007 (19.29384225208 yrs)
- Last Updated
- Aug 24, 2023
- License
-
139 (AR)
Practice Information
- Address
-
150 SIEBENMORGEN RDCONWAY, AR, 72032Browse AR providers · Browse ZIP 72032
- Phone
- 5013296851
- Fax
- 5013360508
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.