Organization
ARKANSAS QUALITY THERAPY CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROOPER TOLBERT (DIRECTOR)
(501) 765-2911
Entity
Organization
Contact information
Practice address
14105 SKYLINE DR, ALEXANDER, AR 72002-1824
(501) 765-2911
Mailing address
14105 SKYLINE DR, ALEXANDER, AR 72002-1824
(501) 765-2911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251B00000X
Case Management Agency
—
AR
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
AR
305R00000X
Preferred Provider Organization
—
AR
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
AR
Other
Enumeration date
11/26/2014
Last updated
10/26/2015
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