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Organization
SUPPORT SOLUTIONS OF ARKANSAS
Active
Organization
SUPPORT SOLUTIONS OF ARKANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY L. DURBIN ED. D. (CHIEF EXECUTIVE OFFICER)
(901) 383-9193
Entity
Organization
Contact information
Practice address
5909 SHELBY OAKS DR STE 100, MEMPHIS, TN 38134-7318
(901) 383-9193
(901) 383-9195
Mailing address
818 CANAL ST, MARION, AR 72364-5075
(901) 383-9193
(901) 383-9195
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445321
—
TN
Enumeration date
08/10/2010
Last updated
08/10/2010
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