Organization
ACCESSIBILITY SPECIALTIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL ALAN MASHBURN (PRESIDENT)
(501) 312-1000
Entity
Organization
Contact information
Practice address
1920 JOHN BARROW RD, LITTLE ROCK, AR 72204-1448
(501) 312-1000
(501) 312-1100
Mailing address
PO BOX 45875, LITTLE ROCK, AR 72214-5875
(501) 312-1000
(501) 312-1100
Taxonomy
Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142516772
MEDICAID WAIVER
AR
05
—
156245716
—
AR
01
—
49936
AR BLUE CROSS BLUESHIELD
AR
Enumeration date
08/10/2006
Last updated
03/12/2009
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