Provider Demographics
NPI:1952908972
Name:QUALITY HEALTH SERVICES OF SOUTH ARKANSAS LLC
Entity Type:Organization
Organization Name:QUALITY HEALTH SERVICES OF SOUTH ARKANSAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:870-831-1002
Mailing Address - Street 1:205 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CROSSETT
Mailing Address - State:AR
Mailing Address - Zip Code:71635-4537
Mailing Address - Country:US
Mailing Address - Phone:870-304-2078
Mailing Address - Fax:870-304-2078
Practice Address - Street 1:205 FAIRVIEW RD STE A
Practice Address - Street 2:
Practice Address - City:CROSSETT
Practice Address - State:AR
Practice Address - Zip Code:71635-4545
Practice Address - Country:US
Practice Address - Phone:870-500-7203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR142741721Medicaid
AR194811721Medicaid