Healthcare Provider Details
I. General information
NPI: 1306975586
Provider Name (Legal Business Name): NORTH HILLS SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6900 N HILLS BLVD
SHERWOOD AR
72116-5423
US
IV. Provider business mailing address
6900 N HILLS BLVD
SHERWOOD AR
72116-5423
US
V. Phone/Fax
- Phone: 501-835-9607
- Fax: 501-835-4071
- Phone: 501-835-9607
- Fax: 501-835-4071
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BRIAN
F.
POOLE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 501-835-9607