Organization
BUILDING BRIDGES DEVELOPMENTAL AND COMMUNITY SERVICES
Active
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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