Organization
5 RESIDENTIAL LLC
Active
Organization
5 RESIDENTIAL LLC
Active
Other names
5 res detox, 5 Res Detox LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BEAU HUNTER EAVES (CFO)
(870) 273-2096
Entity
Organization
Contact information
Practice address
2209 GRANT AVE STE A, JONESBORO, AR 72401-6195
(870) 333-5300
(870) 333-5301
Mailing address
2209 GRANT AVE STE A, JONESBORO, AR 72401-6195
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up