Organization
SOUTH ARKANSAS DEVELOPMENTAL CENTER FOR CHILDREN AND FAMILIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA STAGGS (BUSINESS MANAGER)
(870) 863-8194
Entity
Organization
Contact information
Practice address
714 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-8194
(870) 881-4619
Mailing address
714 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-8194
(870) 881-4619
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167902778
—
AR
Enumeration date
10/08/2009
Last updated
10/08/2009
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