Organization
STATE OF ARKANSAS
Active
Other names
Conway Human Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY SELLERS (BUSINESS OPERATIONS MANAGER)
(501) 329-6851
Entity
Organization
Contact information
Practice address
150 SIEBENMORGEN RD, CONWAY, AR 72032
(501) 329-6851
(501) 336-0508
Mailing address
150 SIEBENMORGEN RD, CONWAY, AR 72032
(501) 329-6851
(501) 336-0508
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
139
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109217213
—
AR
Enumeration date
02/21/2007
Last updated
08/24/2023
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