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Organization
OUR MOMMY'S AND DADDDY'S ADULT DAY CARE CENTER
Active
Organization
OUR MOMMY'S AND DADDDY'S ADULT DAY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAXCINE HENDERSON CNA (DIRECTOR)
(870) 692-5879
Entity
Organization
Contact information
Practice address
1406 E HARDING AVE, PINE BLUFF, AR 71601-6168
(870) 536-7404
Mailing address
1406 E HARDING AVE, PINE BLUFF, AR 71601-6168
(870) 536-7404
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
146
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188575755
—
AR
Enumeration date
10/27/2011
Last updated
10/27/2011
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