Organization
KIDS UNLIMITED OF WASHINGTON COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY DECKER (OWNER)
(870) 761-6680
Entity
Organization
Contact information
Practice address
120 SOUTHWINDS RD STE 2, FARMINGTON, AR 72730-8652
(479) 300-6400
Mailing address
120 SOUTHWINDS RD STE 2, FARMINGTON, AR 72730-8652
(479) 300-6400
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197936724
—
AR
05
—
200897742
—
AR
Enumeration date
04/01/2014
Last updated
12/29/2014
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