# FRIENDSHIP COMMUNITY CARE

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

## Provider details

- **NPI number:** 1902224512
- **Authorized official:** KRISTINA MICHELLE DUNCAN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (479) 967-2322

## Contact information

- **Practice address:** 920 UNIVERSITY DR, RUSSELLVILLE, AR 72801-4303
- **Practice address phone:** (479) 967-2322
- **Mailing address:** PO BOX 2109, RUSSELLVILLE, AR 72811-2109
- **Mailing address phone:** (479) 967-2322
- **Mailing address fax:** (479) 967-2876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | PTA2755 | AR | — |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 04/01/2014
- **Last updated:** 12/28/2022