Organization
CRITTENDEN ADULT CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW BASS (OWNER)
(901) 649-6116
Entity
Organization
Contact information
Practice address
718 E BROADWAY ST, WEST MEMPHIS, AR 72301-4449
(870) 733-1235
Mailing address
PO BOX 56, WEST MEMPHIS, AR 72303-0056
(870) 733-0228
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
120
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16010750
—
AR
05
—
160108752
—
AR
05
—
160109755
—
AR
05
—
160110757
—
AR
Enumeration date
11/11/2006
Last updated
10/23/2009
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