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Contact Information

HABILITATION CENTER, LLC
1828 INDUSTRIAL DR
FORDYCE, AR71742-7110
 Phone: 870-352-8203
 Fax: 870-352-5311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

NPI Profile & details for HABILITATION CENTER, LLC

NPI Number 1659135358
LBN Legal business name HABILITATION CENTER, LLC
Authorized official BRIAN FARLEY - (VICE PRESIDENT & SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2024
Last updated 01/06/2026 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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