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State of Arkansas

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Alexander, AR

NPI 1487781027 · NPPES record last updated Jun 25, 2008

Key facts

NPI
1487781027
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
License
138 (AR)
Legal business name
STATE OF ARKANSAS
Practice address
14701 Highway 111
Alexander, AR 72002-1742
Phone
(501) 847-3506
Fax
(501) 847-3688
NPI assigned
Feb 28, 2007
Organization subpart
No

Authorized official

Name
Mr. James A Helton
Title
Business Manager
Phone
(501) 847-3506

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
State of Arkansas (14 organizations share this tax ID)

Locations

14701 Highway 111
Alexander, AR 72002
Phone (501) 847-3506

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 138 AR Yes

Addresses

Primary practice location

14701 Highway 111
Alexander, AR 72002-1742

Mailing address

14701 Highway 111
Alexander, AR 72002-1742
Phone (501) 847-3506

Other identifiers

IdentifierTypeStateIssuer
109053213MedicaidAR

Other names

  • Alexander Human Development Center Doing business as

Other providers in Alexander, AR

All providers in Alexander, AR · Intellectual Disabilities Intermediate Care Facility in Arkansas

Sources for this page

Verify at the official NPI Registry.