OrganizationActive
Independent Case Management, Inc.
NPI 1962547745 · Developmentally Disabled Services Day Training Agency · Little Rock, AR
Provider details
- NPI number
- 1962547745
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Authorized official
- Josh Wilson, Ceo
Practice location
1525 Merrill Drive
Little Rock, AR 72211-1821
Phone: (501) 228-0063
Fax: (501) 228-0070
Mailing address
1525 Merrill Drive
Little Rock, AR 72211-1821
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2021-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.