OrganizationActive
Habilitation Center, LLC
NPI 1659135358 · Intellectual Disabilities Intermediate Care Facility · Fordyce, AR
Provider details
- NPI number
- 1659135358
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Farley, Vice President & Secretary(615) 861-6000
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1828 Industrial Dr
Fordyce, AR 71742-7110
Phone: (870) 352-8203
Fax: (870) 352-5311
Approximate (ZIP-level) locationGet directions
Mailing address
4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Other names (DBA / former)
- Doing business as
- Millcreek of Arkansas
Registry dates
- Enumerated
- 2024-02-13
- Last updated
- 2026-01-06
- Certified
- 2026-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.