National Provider Identifier Database

MADISON RESIDENTIAL CARE FACILITY
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.


Contact Information

MADISON RESIDENTIAL CARE FACILITY
2821 W DIXON RD
LITTLE ROCK, AR72206-4256
Phone: 501-888-4080
Fax: 501-486-9119
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Physical Disabilities 320700000X

* Indicates primary specialty

NPI Profile & details for MADISON RESIDENTIAL CARE FACILITY

NPI Number 1467780510
Legal business name
LBN
MADISON RESIDENTIAL CARE FACILITY
Authorized official SY NIKSEFAT - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/01/2009
Last updated 12/01/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: 041

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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