Organization
CB KING INFANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY J. GREGORY (OFFICE MANAGER)
(870) 222-4544
Entity
Organization
Contact information
Practice address
1610 S 1ST ST, 1610 S 1ST ST, MC GEHEE, AR 71654-2908
(870) 222-4544
(870) 222-4550
Mailing address
1610 S 1ST ST, P.O. BOX 1051, MC GEHEE, AR 71654-2908
(870) 222-4544
(870) 222-4550
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
01923
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180547724
—
AR
Enumeration date
04/15/2010
Last updated
04/15/2010
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