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
610 E EMMA AVE STE B, SPRINGDALE, AR 72764-4685
(479) 365-7250
(479) 365-7265
Mailing address
PO BOX 679, MORRILTON, AR 72110-0679
(501) 354-4589
(501) 354-5410
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
03/03/2021
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