Organization
TWIN RIVER COMMUNITY LIVING FACILITY
Active
Other names
Twin River Community Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLIVIA MCDANIEL (EXECUTIVE DIRECTOR)
(870) 425-4515
Entity
Organization
Contact information
Practice address
201 DODD ST, MOUNTAIN HOME, AR 72653-4757
(870) 425-4515
(870) 425-3933
Mailing address
201 DODD ST, MOUNTAIN HOME, AR 72653-4757
(870) 425-4515
(870) 425-3933
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125827767
—
AR
05
—
135313774
—
AR
Enumeration date
02/14/2019
Last updated
02/14/2019
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