Organization
THE ELIZABETH RICHARDSON CTR.
Active
Organization
THE ELIZABETH RICHARDSON CTR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A TANKERSLEY (BILLING SPECIALIST)
(479) 872-1800
Entity
Organization
Contact information
Practice address
3917 S. OLD MISSOURI RD., SPRINGDALE, AR 72764
(479) 872-1800
(479) 872-4654
Mailing address
3917 S. OLD MISSOURI RD., SPRINGDALE, AR 72764
(479) 872-1800
(479) 872-4654
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309817724
—
AR
Enumeration date
04/26/2006
Last updated
03/06/2024
Update your record
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