Healthcare Provider Details

I. General information

NPI: 1609090919
Provider Name (Legal Business Name): DAYSPRING SERVICES OF ARKANSAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 04/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 HWY 65 NORTH
MARSHALL AR
72650
US

IV. Provider business mailing address

5537 BLEAUX AVE
SPRINGDALE AR
72762-0737
US

V. Phone/Fax

Practice location:
  • Phone: 870-448-4727
  • Fax: 870-448-4496
Mailing address:
  • Phone: 479-872-5580
  • Fax: 479-872-5581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateAR

VIII. Authorized Official

Name: MRS. HELEN M BALDING
Title or Position: BILLING
Credential:
Phone: 479-872-5580