# CRITTENDEN ADULT CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376614495
- **Authorized official:** MR. ANDREW BASS (OWNER)
- **Authorized official phone:** (901) 649-6116

## Contact information

- **Practice address:** 718 E BROADWAY ST, WEST MEMPHIS, AR 72301-4449
- **Practice address phone:** (870) 733-1235
- **Mailing address:** PO BOX 56, WEST MEMPHIS, AR 72303-0056
- **Mailing address phone:** (870) 733-0228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | 120 | AR | Yes |

## Other

- **Enumeration date:** 11/11/2006
- **Last updated:** 10/23/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 16010750 | — | AR |
| 05 | — | 160108752 | — | AR |
| 05 | — | 160109755 | — | AR |
| 05 | — | 160110757 | — | AR |