Organization
DELTA HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HENRIETTA WILSON (ADMINISTRATOR)
(870) 572-4124
Entity
Organization
Contact information
Practice address
252 DESOTA, WEST HELENA, AR 72390-2823
(870) 572-3417
(870) 572-2653
Mailing address
252 DESOTA, WEST HELENA, AR 72390-2823
(870) 572-3417
(870) 572-2653
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
461
AR
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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