Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareHABILITATION 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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1828 INDUSTRIAL DR FORDYCE, AR 71742 US
Tel: 870-352-8203 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | AR | 422 |
| Y | 323P00000X | Residential Treatment Facilities Psychiatric Residential Treatment Facility | AR | 233 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 109332213 | AR | 05 | |
| 135301725 | AR | 05 | |
| 140531726 | AR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
