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Organization
STATE OF ARKANSAS
Active
Organization
STATE OF ARKANSAS
Active
Other names
Conway Human Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY SELLERS (BUSINESS OPERATIONS MANAGER)
(501) 329-6851
Entity
Organization
Contact information
Practice address
150 SIEBENMORGEN RD, CONWAY, AR 72032
(501) 329-6851
(501) 336-0508
Mailing address
150 SIEBENMORGEN RD, CONWAY, AR 72032
(501) 329-6851
(501) 336-0508
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
139
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109217213
—
AR
Enumeration date
02/21/2007
Last updated
08/24/2023
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