Healthcare Provider Details

I. General information

NPI: 1346506748
Provider Name (Legal Business Name): NORTH HILLS SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2012
Last Update Date: 04/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 N HILLS BLVD
NORTH LITTLE ROCK AR
72116-5423
US

IV. Provider business mailing address

6900 N HILLS BLVD
NORTH LITTLE ROCK AR
72116-5423
US

V. Phone/Fax

Practice location:
  • Phone: 501-835-9607
  • Fax: 501-835-4071
Mailing address:
  • Phone: 501-835-9607
  • Fax: 501-835-4071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number116221742
License Number StateAR

VIII. Authorized Official

Name: DR. BRIAN F. POOLE
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 501-835-9607