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HABILITATION CENTER, LLC

Intermediate Care Facility, Mentally Retarded

Fordyce, Arkansas

Provider NPI: 1952482036

Organization Information:
Organization Name:  HABILITATION CENTER, LLC


Practice Location:
1828 INDUSTRIAL DR  FORDYCE, AR 71742 US
Tel: 870-352-8203  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
AR422
Y323P00000XResidential Treatment Facilities
Psychiatric Residential Treatment Facility
AR233

Other Provider Identifiers:

IssuerNumberStateType
109332213AR05
135301725AR05
140531726AR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS AR - Page 1



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