Organization
CONWAY COUNTY COMMUNITY SERVICE INC.
Active
Organization
CONWAY COUNTY COMMUNITY SERVICE INC.
Active
Other names
Community Service Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA LYNN WHEAT (PA/CREDENTIALING CLERK)
(501) 354-4589
Entity
Organization
Contact information
Practice address
100 S CHEROKEE ST., MORRILTON, AR 72110
(501) 354-4589
(501) 354-5410
Mailing address
PO BOX 679, MORRILTON, AR 72110
(501) 354-4589
(501) 354-5410
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10085
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142653726
—
AR
Enumeration date
01/08/2007
Last updated
03/03/2021
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