Healthcare Provider Details

I. General information

NPI: 1790631109
Provider Name (Legal Business Name): WILLFUL SOLUTIONS AR WAIVER SUPPORTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 STEEPLE CHASE DR
JACKSONVILLE AR
72076-2673
US

IV. Provider business mailing address

2200 STEEPLE CHASE DR
JACKSONVILLE AR
72076-2673
US

V. Phone/Fax

Practice location:
  • Phone: 501-573-9900
  • Fax: 501-573-9900
Mailing address:
  • Phone: 501-573-9900
  • Fax: 501-573-9900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MRS. TRISA DABBS
Title or Position: OWNER CEO
Credential: DABBS
Phone: 501-573-9900