Organization
SUPPORT SOLUTIONS OF ARKANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY L. DURBIN ED. D. (CHIEF EXECUTIVE OFFICER)
(901) 383-9193
Entity
Organization
Contact information
Practice address
5909 SHELBY OAKS DR STE 100, MEMPHIS, TN 38134-7318
(901) 383-9193
(901) 383-9195
Mailing address
818 CANAL ST, MARION, AR 72364-5075
(901) 383-9193
(901) 383-9195
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445321
—
TN
Enumeration date
08/10/2010
Last updated
08/10/2010
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