Organization
CRITTENDEN ADULT CARE SERVICES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW BASS (OWNER)
(870) 733-1235
Entity
Organization
Contact information
Practice address
718 E BROADWAY ST, WEST MEMPHIS, AR 72301-4449
(870) 733-1235
(870) 733-0228
Mailing address
718 E BROADWAY ST, WEST MEMPHIS, AR 72301-4449
(870) 733-1235
(870) 733-0228
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
120
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160108752
—
AR
05
—
160109755
—
AR
05
—
160110757
—
AR
05
—
161772765
—
AR
05
—
164858798
—
AR
Enumeration date
04/12/2007
Last updated
06/10/2008
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