Organization
REDD WILLOW SUPPORTIVE LIVING, L.L.C.
Active
Organization
REDD WILLOW SUPPORTIVE LIVING, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY LATRICE SCOTT (CEO)
(870) 489-7918
Entity
Organization
Contact information
Practice address
3610 W 9TH AVE, PINE BLUFF, AR 71603-1906
(870) 489-7918
Mailing address
3610 W 9TH AVE, PINE BLUFF, AR 71603-1906
(870) 489-7918
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/05/2025
Last updated
08/25/2026
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