Organization
ARKANSAS ENTERPRISES FOR THE DEVELOPMENTALLY DISABLED, INC.
Active
Organization
ARKANSAS ENTERPRISES FOR THE DEVELOPMENTALLY DISABLED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTIS WILLDING (CHIEF FINANCIAL OFFICER)
(501) 666-0246
Entity
Organization
Contact information
Practice address
6 PRODUCTION DR, LITTLE ROCK, AR 72209-4357
(501) 374-7538
(501) 666-2113
Mailing address
105 E ROOSEVELT RD, LITTLE ROCK, AR 72206-2221
(501) 666-0246
(501) 666-2113
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
129508774
AR
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
112558724
AR
261Q00000X
Clinic/Center
149854724
AR
261QD1600X
Developmental Disabilities Clinic/Center
146646724
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112558724
—
AR
05
—
118199715
—
AR
05
—
125954767
—
AR
05
—
125958775
—
AR
05
—
129508774
—
AR
01
—
132619786
STATE
AR
05
—
134433782
—
AR
05
—
146646724
—
AR
05
—
148424715
—
AR
05
—
149854724
—
AR
01
—
5C657
AR BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/08/2006
Last updated
06/10/2022
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