Providence Pcc of Springdale
Providence Pcc of Springdale is an Assisted Living Facility in Springdale, Arkansas. Licensed in Arkansas. Registered with an NPI since 2015.
- Licensed in
- AR
- In the registry since
- 2015
Practice location Address checks out
2175 Orchard StSpringdale, AR 72764-6357
Phone: (479) 750-1511
Fax: (479) 750-2214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 102 (AR) |
|---|
Record details
| NPI number | 1740645456 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Autumn Ching-Long — Office Manager · (479) 750-1511 |
| NPI enumerated | December 22, 2015 |
| Last updated in NPPES | December 22, 2015 |
| Mailing address | 2175 Orchard St, Springdale, AR 72764-6357 |
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