Provider Demographics
NPI:1285857417
Name:DAYSPRING SERVICES OF ARKANSAS LLC
Entity Type:Organization
Organization Name:DAYSPRING SERVICES OF ARKANSAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BALDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-872-5580
Mailing Address - Street 1:5537 BLEAUX AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-0737
Mailing Address - Country:US
Mailing Address - Phone:479-872-5580
Mailing Address - Fax:479-872-5581
Practice Address - Street 1:1140 W WALNUT ST
Practice Address - Street 2:SUITE 3
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-3544
Practice Address - Country:US
Practice Address - Phone:479-631-9996
Practice Address - Fax:479-631-1782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR160429526Medicaid