Organization
INDEPENDENT CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY ALBERDING (CEO)
(501) 268-0063
Entity
Organization
Contact information
Practice address
13310 KANIS RD, LITTLE ROCK, AR 72211-4008
(501) 268-0063
(501) 268-0070
Mailing address
13310 KANIS RD, LITTLE ROCK, AR 72211-4008
(501) 268-0063
(501) 268-0070
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196903706
—
AR
Enumeration date
06/26/2013
Last updated
06/26/2013
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