Organization
ALPHA LED LIVING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECILIA BAKER (EXECUTIVE DIRECTOR)
(501) 710-4772
Entity
Organization
Contact information
Practice address
140 MUNICIPAL DR, JACKSONVILLE, AR 72076-4274
(501) 902-8715
(501) 232-8549
Mailing address
7605 GERONIMO CIR, NORTH LITTLE ROCK, AR 72116-4317
(501) 710-4772
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352462767
—
AR
Enumeration date
05/29/2025
Last updated
03/31/2026
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