Organization
KID QUEST INCORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BERTHENA NUNN (DIRECTOR)
(501) 985-0757
Entity
Organization
Contact information
Practice address
425 PARKDALE ST, NORTH LITTLE ROCK, AR 72117-4317
(501) 985-0757
(501) 985-0930
Mailing address
425 PARKDALE ST, NORTH LITTLE ROCK, AR 72117-4317
(501) 985-0757
(501) 985-0930
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
145713778
AR
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
145713778
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145713778
—
AR
Enumeration date
08/15/2007
Last updated
08/15/2007
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