Organization
FORDYCE ASSISTED LIVING INC
Active
Other names
Daltons Place at Fordyce
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CARLA D TENBROOK (EXECUTIVE DIRECTOR)
(479) 394-3200
Entity
Organization
Contact information
Practice address
1718 INDUSTRIAL DR, FORDYCE, AR 71074
(870) 890-2412
Mailing address
1718 INDUSTRIAL DR, FORDYCE, AR 71742
(870) 890-2408
(870) 890-2420
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
097
AR
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up