Organization
BUILDING BRIDGES DEVELOPMENTAL AND COMMUNITY SERVICES
Active
Other names
Lonoke Exceptional School
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY BAGGETT (BILLING COORDINATOR)
(501) 676-2786
Entity
Organization
Contact information
Practice address
518 NE FRONT STREET, LONOKE, AR 72086
(501) 676-2786
(501) 676-0697
Mailing address
PO BOX 980, 518 NE FRONT STREET, LONOKE, AR 72086
(501) 676-2786
(501) 676-0697
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
AR
251C00000X
Developmentally Disabled Services Day Training Agency
—
AR
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103281724
—
AR
01
—
114235715
MEDICAID EDS
AR
01
—
116704742
MEDICAID EDS
AR
01
—
130758767
MEDICAID EDS
AR
01
—
130760774
MEDICAID EDS
AR
01
—
145866778
MEDICAID EDS
AR
Enumeration date
08/08/2006
Last updated
11/21/2019
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