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General NPI Number Information
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NPI Number | 1518170612
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Entity Type | Organization
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Legal Business Name | RETIREMENT CENTERS OF ARKANSAS
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8900 HIGHWAY 107
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City | SHERWOOD
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State | AR
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Zip | 72120-2932
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Country | US
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Telephone | 501-835-5931
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Fax | 501-835-4120
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Provider Business Mailing Address
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Address Line | 8900 HIGHWAY 107
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City | SHERWOOD
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State | AR
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Zip | 72120-2932
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Country | US
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Telephone | 501-835-5931
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Fax | 501-835-4120
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LEONIE WILLIAMS
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Credential |
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Telephone | 501-835-5931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number | 006
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License Number State | AR
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