Organization
COMMUNITY SCHOOL OF CLEBURNE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI RENNER (EXECUTIVE DIRECTOR)
(501) 206-0920
Entity
Organization
Contact information
Practice address
74 CLEBURNE PARK ROAD, HEBER SPRINGS, AR 72543
(501) 206-0920
(501) 206-0920
Mailing address
74 CLEBURNE PARK ROAD, HEBER SPRINGS, AR 72543
(501) 206-0920
(501) 206-0920
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113496724
—
AR
05
—
118418715
—
AR
05
—
125463742
—
AR
05
—
130674774
—
AR
01
—
132555786
VOUCHER VI-B
AR
05
—
133782767
—
AR
05
—
145745778
—
AR
05
—
161899773
—
AR
Enumeration date
05/10/2007
Last updated
08/11/2009
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