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Organization

THE DONI MARTIN CENTER FOR DEVELOPMENTAL SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA ORRICK (CEO)
(870) 892-4061
Entity
Organization

Contact information

Practice address
1506 N PARK ST, POCAHONTAS, AR 72455-2111
(870) 892-4061
Mailing address
PO BOX 425, POCAHONTAS, AR 72455-0425
(870) 892-4061
(870) 892-7151

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105439724
AR
Enumeration date
07/28/2020
Last updated
07/29/2020
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