Organization
LIVING HOPE SOUTHWEST MEDICAL SERVICES, LLC
Active
Other names
Living Hope Texarkana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIMBRO STEPHENS (PRESIDENT)
(870) 774-4673
Entity
Organization
Contact information
Practice address
801 ARKANSAS BLVD, TEXARKANA, AR 71854-2107
(870) 774-4673
(870) 774-9313
Mailing address
801 ARKANSAS BLVD, TEXARKANA, AR 71854-2107
(870) 774-4673
(870) 774-9313
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
AR3925
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AR3925
HOSPITAL LICENSE
AR
05
—
H04533P49
—
TX
Enumeration date
05/26/2006
Last updated
08/22/2020
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