Organization
EASY K FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARL J RUSTMAN (PRESIDENT)
(239) 649-1797
Entity
Organization
Contact information
Practice address
HC 80 BOX 1130, SAGE, AR 72573-9535
(870) 368-7444
Mailing address
HC 80 BOX 1130, SAGE, AR 72573-9535
(870) 368-7444
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
AR
Other
Enumeration date
06/15/2006
Last updated
08/22/2020
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