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Contact Information

REHOBOTH, INCORPORATED
2004 N 2ND ST
DARDANELLE, AR72834-2601
 Phone: 479-968-5858
 Fax: 479-890-6013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Residential Treatment Facility, Physical Disabilities

320700000X
Indicates primary specialty

NPI Profile & details for REHOBOTH, INCORPORATED

NPI Number 1417978305
LBN Legal business name REHOBOTH, INCORPORATED
Authorized official REBECCA BRASHEAR - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
AR License # 353
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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