# EASY K FOUNDATION, INC.

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

## Provider details

- **NPI number:** 1619911450
- **Authorized official:** MR. KARL J RUSTMAN (PRESIDENT)
- **Authorized official phone:** (239) 649-1797

## Contact information

- **Practice address:** HC 80 BOX 1130, SAGE, AR 72573-9535
- **Practice address phone:** (870) 368-7444
- **Mailing address:** HC 80 BOX 1130, SAGE, AR 72573-9535
- **Mailing address phone:** (870) 368-7444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | AR | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 08/22/2020