Organization
SKYROCIT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY WATSON (CEO)
(870) 722-1200
Entity
Organization
Contact information
Practice address
500 S MAIN ST, HOPE, AR 71801-5206
(870) 777-4501
(870) 777-8618
Mailing address
PO BOX 1540, HOPE, AR 71802-1540
(870) 777-4501
(870) 777-8618
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220490767
—
AR
05
—
220920782
—
AR
05
—
220921773
—
AR
05
—
220922772
—
AR
05
—
220931774
—
AR
Enumeration date
08/28/2018
Last updated
01/07/2020
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