Organization
THE IMAGINATION STATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GREEN (DIRECTOR)
(870) 818-7190
Entity
Organization
Contact information
Practice address
3286 W HILLSBORO ST STE A, EL DORADO, AR 71730-6734
(870) 818-7190
Mailing address
230 TIDWELL ST, STEPHENS, AR 71764-8354
(870) 818-7190
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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