Organization
THE ARKANSAS CENTER FOR INDEPENDENCE, INC.
Active
Organization
THE ARKANSAS CENTER FOR INDEPENDENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA MOODY (FINANCE DIRECTOR)
(870) 523-8488
Entity
Organization
Contact information
Practice address
200 RAY ST, NEWPORT, AR 72112-4232
(870) 523-8488
(870) 523-3646
Mailing address
200 RAY ST, NEWPORT, AR 72112-4232
(870) 523-8488
(870) 523-3646
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102857724
—
AR
05
—
114792715
—
AR
05
—
131737767
—
AR
Enumeration date
04/23/2007
Last updated
10/24/2024
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