OUR MOMMY'S AND DADDDY'S ADULT DAY CARE CENTER NPI 1023394608

NPI Information

OUR MOMMY'S AND DADDDY'S ADULT DAY CARE CENTER is a respite care in Pine Bluff, AR. OUR MOMMY'S AND DADDDY'S ADULT DAY CARE CENTER NPI is 1023394608. The provider is registered as an organization entity type.

The provider's business location address is:

1406 E HARDING AVE
PINE BLUFF, AR
ZIP 71601-168
Phone: (870) 536-7404

The provider's authorized official is Maxcine Henderson .
The authorized official title is Director and has the following contact phone number (870) 692-5879.

The enumeration date for this NPI number is 10/27/2011 and was last updated on 10/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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