Organization
AAA THERAPY CARE INC.
Active
Parent organization
AAA THERAPY CARE INC. D/B/A FULL POTENTIAL
Other names
Full Potential Child Development Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
AAA THERAPY CARE INC. D/B/A FULL POTENTIAL
Authorized official
MRS. TERRIE SENTENNEY BAKER (DIRECTOR ASSOCIATE - PRESIDENT)
(501) 374-0330
Entity
Organization
Contact information
Practice address
8023 INTERSTATE 30, LITTLE ROCK, AR 72209
(501) 374-0330
(501) 374-0395
Mailing address
8023 INTERSTATE 30, LITTLE ROCK, AR 72209
(501) 374-0330
(501) 374-0395
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
BL00033023
AR
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164908724
—
AR
Enumeration date
08/30/2007
Last updated
04/09/2009
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