Organization
KIDS FOR THE FUTURE OF FORREST CITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS R HEISLER PHD (CEO)
(870) 633-1737
Entity
Organization
Contact information
Practice address
3998 HIGHWAY 1 N, FORREST CITY, AR 72335-7637
(870) 633-1737
(870) 633-1738
Mailing address
3998 HIGHWAY 1 N, PO BOX 2192, FORREST CITY, AR 72335-7637
(870) 633-1737
(870) 633-1738
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
26859
AR
133N00000X
Nutritionist
26859
AR
163W00000X
Registered Nurse
26859
AR
224Z00000X
Occupational Therapy Assistant
26859
AR
225100000X
Physical Therapist
26859
AR
225200000X
Physical Therapy Assistant
26859
AR
225X00000X
Occupational Therapist
26859
AR
235Z00000X
Speech-Language Pathologist
26859
AR
252Y00000X
Early Intervention Provider Agency
Primary
26859
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181130724
—
AR
Enumeration date
06/01/2010
Last updated
06/02/2010
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