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:
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:
2520 W MAIN ST JACKSONVILLE, AR 72076 US
Tel: 501-982-0528 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
109370213 | AR | 05 | |
109478213 | AR | 05 | |
109477213 | AR | 05 | |
109356213 | AR | 05 | |
109469213 | AR | 05 | |
109474213 | AR | 05 | |
109475213 | AR | 05 | |
109348213 | AR | 05 | |
109395213 | AR | 05 | |
109471213 | AR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin