Organization
REHOBOTH, INCORPORATED
Active
Other names
The Home Place
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BRASHEAR (OWNER)
(479) 968-5858
Entity
Organization
Contact information
Practice address
2004 N 2ND ST, DARDANELLE, AR 72834-2601
(479) 968-5858
(479) 890-6013
Mailing address
900 W 12TH ST, RUSSELLVILLE, AR 72801-6606
(479) 968-5858
(479) 890-6013
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
353
AR
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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