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| Facility Information | | Facility Name: | UCP-Community Living Arrangement (ICF/MR) | | Mailing Address: | 9720 North Rodney Parham, Little Rock, AR 72227- | | Physical Address: | 8800 LaBette Drive, Little Rock, AR 72204 | | County:
| Pulaski | | Phone Number: | 501-228-0425 | | Fax Number: | 501-228-3841 | | Website: | http://ucpcark.org/ | | Administrator and Certifications
| | Administrator: | Lisa Moore | | Administrator License No.:
| 1978 | | Life Safety Code Years: | 1985 2000 | | Certifications: | XIX | | Certified Beds | | Total Licensed Beds: | 15 | | Medicaid Beds: | 15 | | Medicare Beds: | 0 | | Medicaid/Medicare Beds: | 0 | | Private Beds: | 0 | | Classification: | Intermediate Care Facility for the Mentally Retarded | | Ownership and Financial Interest | | Entity Type: | Corporation - Non Profit | | Corporation Name: | United Cerebral Palsy of Central Arkansas, Inc. |
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