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PATHFINDER, INC.

Intermediate Care Facility, Mentally Retarded

Jacksonville, Arkansas

Provider NPI: 1023075595

Organization Information:
Organization Name:  PATHFINDER, INC.


Practice Location:
2520 W MAIN ST  JACKSONVILLE, AR 72076 US
Tel: 501-982-0528  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded

Other Provider Identifiers:

IssuerNumberStateType
109370213AR05
109478213AR05
109477213AR05
109356213AR05
109469213AR05
109474213AR05
109475213AR05
109348213AR05
109395213AR05
109471213AR05
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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