Organization
CREATIVE HOUSING III-NEWTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA STAGGS (BUSINESS MANAGER)
(870) 863-8194
Entity
Organization
Contact information
Practice address
232 N NEWTON AVE, EL DORADO, AR 71730-5422
(870) 863-8194
(870) 881-4600
Mailing address
714 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-8194
(870) 881-4600
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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