Cbk Mother Goose

NPI 1134482649 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1134482649
Enumeration Date 06/19/2012
Last Updated 06/19/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SHERRY JAGGERS SHERRY
Position OFFICE MANAGER
Phone (870) 222-4544
Fax
Practice Location
239 SWANIGAN ST
EUDORA AR, 71640-2437, US
Phone (870) 222-4544
Fax
Business Location
PO BOX 1051
MC GEHEE AR, 71654-1051, US
Phone (870) 222-4544
Fax (870) 222-4557
Toxanomy
Taxonomy Code 252Y00000X
License State Arkansas
License Number 12009
Remove 1134482649 NPI Number
 

According to our database, Cbk Mother Goose NPI is 1134482649, taxonomy code is 252Y00000X and license number is 12009, license state is located at Arkansas. Cbk Mother Goose physically located at 239 Swanigan St, Eudora AR, 71640-2437. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1134482649 NPI number is provided on an as is basis without warranty of any kind. 1134482649 is maintained by the National Plan & Provider Enumeration System. The contents of Cbk Mother Goose are for informational purposes only.