Organization
MADISON RESIDENTIAL CARE FACILITY
Active
Other names
Madison Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SY NIKSEFAT (OWNER)
(501) 888-4080
Entity
Organization
Contact information
Practice address
2821 W DIXON RD, LITTLE ROCK, AR 72206-4256
(501) 888-4080
(501) 486-9119
Mailing address
2821 W DIXON RD, LITTLE ROCK, AR 72206-4256
(501) 888-4080
(501) 486-9119
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
041
AR
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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