Organization
THE LEARNING CENTER OF NORTHEAST ARKANSAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN COOPER (EXECUTIVE DIRECTOR)
(870) 335-2240
Entity
Organization
Contact information
Practice address
2808 FOX MEADOW LN, JONESBORO, AR 72404-9346
(870) 932-4245
(870) 931-4457
Mailing address
2808 FOX MEADOW LN, JONESBORO, AR 72404-9346
(870) 932-4245
(870) 931-4457
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117538742
—
AR
05
—
117641724
—
AR
05
—
118326715
—
AR
01
—
132566786
DDTCS, 03, 14, 06
AR
05
—
145862778
—
AR
01
—
5C636
AR BCBS PROVIDER #
AR
Enumeration date
03/02/2007
Last updated
12/05/2023
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