Organization
ABC CHILDREN'S ACADEMY
Active
Other names
ABC Children's Academy-Russellville
Organization subpart
No
Provider details
NPI number
Authorized official
DANA WARREN (OWNER)
(479) 968-1198
Entity
Organization
Contact information
Practice address
500 E 3RD ST, RUSSELLVILLE, AR 72801-5204
(479) 968-1498
Mailing address
500 E 3RD ST, RUSSELLVILLE, AR 72801-5204
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197933724
—
AR
Enumeration date
07/30/2019
Last updated
10/11/2021
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