Organization
HOWARD COUNTY CHILDRENS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY COOLEY (CONTROLLER)
(870) 845-1211
Entity
Organization
Contact information
Practice address
1577 HIGHWAY 371 W, NASHVILLE, AR 71852-7598
(870) 845-1211
(870) 845-2810
Mailing address
1577 HIGHWAY 371 W, NASHVILLE, AR 71852-7598
(870) 845-1211
(870) 845-2810
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102683724
DDTCS
—
01
—
118339715
TRANSPORTATION
—
01
—
120996765
TCM ADULT
—
01
—
125829767
WAIVER
—
01
—
129648774
CASE MANAGEMENT
—
01
—
132518786
DDS NON MEDICAID
—
Enumeration date
11/21/2005
Last updated
03/20/2025
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