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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