Organization
KIDS FOR THE FUTURE OF WESTERN BENTON COUNTY, LLC
Active
Other names
KidsCorp West
Organization subpart
No
Provider details
NPI number
Authorized official
SHELIA WILKERSON (DIRECTOR)
(479) 986-5150
Entity
Organization
Contact information
Practice address
425 S MAIN ST, DECATUR, AR 72722-9799
(479) 212-5030
Mailing address
PO BOX 130, ROGERS, AR 72757-0130
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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