MEDICARE: NORTH HILLS SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1124083118
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH HILLS SERVICES, INC

Provider Business Mailing Address
First Line	:	6900 N HILLS BLVD
Second Line	:
City	:	SHERWOOD
State	:	AR
Zip	:	72116-5423
Country	:	US
Telephone Number	:	501-835-9607
Fax Number	:	501-835-4071

Provider Business Practice Location Address
First Line	:	6900 N HILLS BLVD
Second Line	:
City	:	SHERWOOD
State	:	AR
Zip	:	72116-5423
Country	:	US
Telephone Number	:	501-835-9607
Fax Number	:	501-835-4071

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DR. BRIAN POOLE
Credential	:
Telephone Number	:	501-835-9607

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	08/22/2020

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Directions to “NORTH HILLS SERVICES, INC ” Practice Location

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