Sources for Community Independent Living Services, Inc
Sources for Community Independent Living Services, Inc is a Case Management Agency in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2012.
- Licensed in
- AR
- In the registry since
- 2012
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1918 N Birch AveFayetteville, AR 72703-2408
Phone: (479) 442-5600
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X · Licence CS014 (AR) |
|---|
Record details
| NPI number | 1043583412 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jim Mather — Executive Director · (479) 442-5600 |
| NPI enumerated | February 16, 2012 |
| Last updated in NPPES | February 16, 2012 |
| Mailing address | 1918 N Birch Ave, Fayetteville, AR 72703-2408 |
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