Provider Demographics
NPI:1679796650
Name:CARE WAY CENTER CORP
Entity Type:Organization
Organization Name:CARE WAY CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:J
Authorized Official - Last Name:HISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-268-8000
Mailing Address - Street 1:1005 GUM SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143
Mailing Address - Country:US
Mailing Address - Phone:501-268-8000
Mailing Address - Fax:501-279-0645
Practice Address - Street 1:1005 GUM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143
Practice Address - Country:US
Practice Address - Phone:501-268-8000
Practice Address - Fax:501-279-0645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management