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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