Organization
JENKINS MEMORIAL CENTER & JENKINS INDUSTRIES, INC.
Active
Organization
JENKINS MEMORIAL CENTER & JENKINS INDUSTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZELDA HOAGLAN (EXECUTIVE DIRECTOR)
(870) 534-2035
Entity
Organization
Contact information
Practice address
2410 RIKE DR, PINE BLUFF, AR 71603-3935
(870) 534-2035
(870) 534-2058
Mailing address
2410 RIKE DR, PINE BLUFF, AR 71603-3935
(870) 534-2035
(870) 534-2058
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
DDS
AR
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
DDS
CA
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
DDS
AR
347E00000X
Transportation Broker
DDS
AR
Other
Enumeration date
08/11/2006
Last updated
09/20/2007
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