Organization
ARROWSTAR LIVING ASSISTANCE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHEL FREDRICKSON (CEO)
(870) 632-7099
Entity
Organization
Contact information
Practice address
1659 S HIGHWAY 65 82, LAKE VILLAGE, AR 71653-1661
(870) 632-7099
Mailing address
412 N HIGHWAY 65 82, LAKE VILLAGE, AR 71653-1661
(870) 632-7099
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
10/27/2025
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