Organization
STATE OF ARKANSAS
Active
Other names
Alexander Human Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A HELTON (BUSINESS MANAGER)
(501) 847-3506
Entity
Organization
Contact information
Practice address
14701 HIGHWAY 111, ALEXANDER, AR 72002-1742
(501) 847-3506
(501) 847-3688
Mailing address
14701 HIGHWAY 111, ALEXANDER, AR 72002-1742
(501) 847-3506
(501) 847-3688
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
138
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109053213
—
AR
Enumeration date
02/28/2007
Last updated
06/25/2008
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