OrganizationActive
Madison Residential Care Facility
NPI 1467780510 · Physical Disabilities Residential Treatment Facility · Little Rock, AR
Provider details
- NPI number
- 1467780510
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Sy Niksefat, Owner
- License
- 041 (AR)
Practice location
2821 W Dixon Rd
Little Rock, AR 72206-4256
Phone: (501) 888-4080
Fax: (501) 486-9119
Mailing address
2821 W Dixon Rd
Little Rock, AR 72206-4256
Registry dates
- Enumerated
- 2009-12-01
- Last updated
- 2009-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.