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Organization

CARROLL COUNTY LEARNING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY PARTON (BILLING CLERK)
(870) 423-6648
Entity
Organization

Contact information

Practice address
705 W COLLEGE AVE, BERRYVILLE, AR 72616-3105
(870) 423-3000
(870) 423-6646
Mailing address
PO BOX 107, BERRYVILLE, AR 72616-0107
(870) 423-3000
(870) 423-6646

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
0021891
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101390724
AR
05
118564715
AR
05
125879767
AR
05
132293774
AR
05
132665786
AR
Enumeration date
04/23/2007
Last updated
06/30/2008
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