Provider Demographics
NPI:1043352099
Name:ARC SERVICES, INC.
Entity Type:Organization
Organization Name:ARC SERVICES, INC.
Other - Org Name:WALNUT COVE
Other - Org Type:Other Name
Authorized Official - Title/Position:ASST. EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-983-3911
Mailing Address - Street 1:PO BOX 2448
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28002-2448
Mailing Address - Country:US
Mailing Address - Phone:704-983-3911
Mailing Address - Fax:704-982-5279
Practice Address - Street 1:121 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:WALNUT COVE
Practice Address - State:NC
Practice Address - Zip Code:27052-9386
Practice Address - Country:US
Practice Address - Phone:336-591-3917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300664Medicaid
NC830664BMedicaid