Twin River Community Living Facility

LBN: Twin River Community Living Facility
Twin River Community Living Facility is an health care organization with primary practice located at 201 Dodd St , Mountain Home AR 72653-4757. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Twin River Community Living Facility can be contacted via phone (870) 425-4515, or through Mcdaniel, Olivia via phone (870) 425-4515.

Contact Information

Primary practice address
201 Dodd St Mountain Home AR 72653-4757
Fax: (870) 425-3933
Website:
Authorized official contact:
Name: Mcdaniel, Olivia

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1881150969
LBN Legal business name Twin River Community Living Facility
DBA Doing business as
Authorized official Mcdaniel, Olivia
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2019
Last updated Feb 14th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881150969 NPPES
Arkansas MEDICAID 125827767
Arkansas MEDICAID 135313774

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