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Organization

STATE PF ARKANSAS

Active
Other names
Jonesboro Human Development Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. THERESIA DIANE KEITH (SUPERINTENDENT)
(870) 932-4043
Entity
Organization

Contact information

Practice address
4701 COLONY DR, JONESBORO, AR 72404-9317
(870) 932-4043
(870) 932-4459
Mailing address
4701 COLONY DR, JONESBORO, AR 72404-9317
(870) 932-4043
(870) 932-4459

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
137
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109054213
AR
Enumeration date
02/26/2007
Last updated
08/16/2023
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