OrganizationActive
Independent Living Services
NPI 1245483262 · Developmentally Disabled Services Day Training Agency · Conway, AR
Provider details
- NPI number
- 1245483262
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jackie Fliss, Director(501) 327-5234
- License
- OTR-1868 (AR)
Specialties & taxonomies
Agencies
Practice location
1105 Deer St Ste 9
Conway, AR 72032-5450
Phone: (501) 327-5883
Approximate (ZIP-level) locationGet directions
Mailing address
1105 Deer St Ste 9
Conway, AR 72032-5450
Registry dates
- Enumerated
- 2008-11-04
- Last updated
- 2008-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.