# COMMUNITY LIVING ARRANGEMENTS

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

## Provider details

- **NPI number:** 1851916738
- **Authorized official:** MRS. BARBARA STAGGS (CFO)
- **Authorized official phone:** (870) 904-8499

## Contact information

- **Practice address:** 714 W GROVE ST, EL DORADO, AR 71730-4416
- **Practice address phone:** (870) 863-8194
- **Mailing address:** 714 W GROVE ST, EL DORADO, AR 71730-4416
- **Mailing address phone:** (870) 863-8194

## Taxonomy

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

## Other

- **Enumeration date:** 06/16/2020
- **Last updated:** 06/16/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 131009767 | — | AR |