Healthcare Provider Details

I. General information

NPI: 1114898533
Provider Name (Legal Business Name): STILL WATERS ADULT DAY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2722 MILITARY RD
BENTON AR
72015-2720
US

IV. Provider business mailing address

PO BOX 1830
BENTON AR
72018-1830
US

V. Phone/Fax

Practice location:
  • Phone: 501-315-6655
  • Fax: 501-315-0871
Mailing address:
  • Phone: 501-315-6655
  • Fax: 501-315-0871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MURRAY DAVID MAPLES III
Title or Position: OWNER
Credential:
Phone: 501-315-6655