Organization
SPA AREA INDEPENDENT LIVING SERVICES
Active
Other names
SAILS
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA STINEBUCK (EXECUTIVE DIRECTOR)
(501) 624-7710
Entity
Organization
Contact information
Practice address
621 ALBERT PIKE RD, HOT SPRINGS, AR 71913-3805
(501) 624-7710
(501) 624-7003
Mailing address
621 ALBERT PIKE RD, HOT SPRINGS, AR 71913-3805
(501) 624-7710
(501) 624-7003
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211406765
—
AR
Enumeration date
07/14/2016
Last updated
07/14/2016
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