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Providence PCC of Springdale, LLC-RCF

Facility Information

Mailing-Address:-2175 Orchard Street, Springdale, AR 72764
Physical-Address:-2175 Orchard Street, Springdale, AR 72764
County:-Washington
Phone-Number:-479-750-1511
Fax-Number:-479-750-2214

Administrator and Certifications

Administrator:-Lisa P. Jackson
Administrator-License-No:-764
Life-Safety-Code-Years:-6/17

Certified Beds

Total-Licensed-Beds:-10
Homestyle-Beds:-0
Medicaid-Beds:-0
Medicare-Beds:-0
Medicaid/Medicare-Beds:-0
Private-Beds:-10
Classification:-Residential Care Facility

Ownership and Financial Interest

Entity-Type:-Partnership
Corporation-Name:-Providence Management LLC

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