Organization
GRAND PRAIRIE JOB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL L PIERCE (EXECUTIVE DIRECTOR)
(870) 673-8261
Entity
Organization
Contact information
Practice address
427 S MAPLE ST, STUTTGART, AR 72160-4205
(870) 673-8261
(870) 673-2851
Mailing address
427 S MAPLE ST, STUTTGART, AR 72160-4205
(870) 673-8261
(870) 673-2851
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121407724
—
AR
05
—
121408715
—
AR
05
—
132581786
—
AR
05
—
133304767
—
AR
05
—
133306774
—
AR
Enumeration date
05/15/2007
Last updated
12/01/2011
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