Organization
KID SUCCESS, INC.
Active
Other names
The Center of Early Learning
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA DENTON PT (OWNER)
(501) 329-5459
Entity
Organization
Contact information
Practice address
2740 COLLEGE AVENUE, CONWAY, AR 72034
(501) 328-5696
(501) 328-5020
Mailing address
2740 COLLEGE AVENUE, CONWAY, AR 72034
(501) 328-5696
(501) 328-5020
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155749724
—
AR
05
—
163166724
—
AR
Enumeration date
04/02/2007
Last updated
06/18/2008
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