OrganizationActive
Medicalodges, Inc.
NPI 1336228394 · Adult Day Care Clinic/Center · Texarkana, AR
Provider details
- NPI number
- 1336228394
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cathy Fisher, Chief Financial Officer(620) 251-6700
- License
- 427 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
Practice location
1625 E 42nd St
Texarkana, AR 71854-1654
Phone: (870) 772-0689
Fax: (870) 772-1103
Approximate (ZIP-level) locationGet directions
Mailing address
1625 E 42nd St
Texarkana, AR 71854-1654
Other names (DBA / former)
- Doing business as
- Gran Villas Texarkana
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2008-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.