# REHOBOTH, INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Home Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417978305
- **Authorized official:** REBECCA BRASHEAR (OWNER)
- **Authorized official phone:** (479) 968-5858

## Contact information

- **Practice address:** 2004 N 2ND ST, DARDANELLE, AR 72834-2601
- **Practice address phone:** (479) 968-5858
- **Practice address fax:** (479) 890-6013
- **Mailing address:** 900 W 12TH ST, RUSSELLVILLE, AR 72801-6606
- **Mailing address phone:** (479) 968-5858
- **Mailing address fax:** (479) 890-6013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 353 | AR | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 08/22/2020
