Organization
CONWAY PUBLIC SCHOOLS #01
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE VANN (DIRECTOR OF SPECIAL EDUCATION)
(501) 450-6634
Entity
Organization
Contact information
Practice address
1902 HAIRSTON ST, CONWAY, AR 72034-3227
(501) 450-6634
(501) 450-4862
Mailing address
2200 PRINCE ST, CONWAY, AR 72034-3750
(501) 450-4800
(501) 450-4898
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251300000X
Local Education Agency (LEA)
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116042743
—
AR
05
—
118688761
—
AR
Enumeration date
12/14/2006
Last updated
12/16/2013
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