Full Potential Child Development Center | |
8023 Interstate 30 Little Rock AR 72209 | |
(501) 374-0330 | |
(501) 374-0395 |
Full Name | Full Potential Child Development Center |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 8023 Interstate 30, Little Rock, Arkansas |
Authorized Official Name and Position | Terrie Sentenney Baker (DIRECTOR ASSOCIATE - PRESIDENT) |
Authorized Official Contact | 5013740330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Full Potential Child Development Center 8023 Interstate 30 Little Rock AR 72209 Ph: (501) 374-0330 | Full Potential Child Development Center 8023 Interstate 30 Little Rock AR 72209 Ph: (501) 374-0330 |
NPI Number | 1962696245 |
---|---|
Provider Enumeration Date | 08/30/2007 |
Last Update Date | 04/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962696245 | NPI | - | NPPES |
164908724 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | BL00033023 (Arkansas) | Primary |
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