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Organization

MENTOR ABI, LLC

Active
Other names
Timber Ridge Ranch NeuroRestorative Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CINDY BEATY (DIRECTOR OF REIMBURSEMENT)
(501) 758-8799
Entity
Organization

Contact information

Practice address
15000 HIGHWAY 298, BENTON, AR 72019-9282
(501) 758-8799
(501) 753-8204
Mailing address
280 MERRIMACK ST STE 600, LAWRENCE, MA 01843-1779
(978) 655-2100

Taxonomy

Speciality
Code
Description
License number
State
283XC2000X
Children's Rehabilitation Hospital
Primary
10042
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126843126
AR
05
181317526
AR
Enumeration date
04/13/2007
Last updated
02/22/2019
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