Organization
TEXARKANA RESOURCES FOR THE DISABLED, INC.
Active
Organization
TEXARKANA RESOURCES FOR THE DISABLED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON A. WEST (CFO)
(870) 774-9675
Entity
Organization
Contact information
Practice address
3015 E 19TH ST, TEXARKANA, AR 71854-4831
(870) 774-9675
(870) 773-0578
Mailing address
PO BOX 19, TEXARKANA, TX 75504-0019
(870) 774-9675
(870) 773-0578
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
AR
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132807724
—
AR
Enumeration date
03/09/2007
Last updated
01/20/2023
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