Organization
NORTHWEST REGIONAL SUPPORTIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD PARKER HIGHTOWER (MANAGER)
(479) 471-9797
Entity
Organization
Contact information
Practice address
1400 OLD BERGMAN RD, HARRISON, AR 72601-3078
(870) 204-5102
Mailing address
PO BOX 2568, HARRISON, AR 72602-2568
(870) 204-5102
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
430
AR
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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