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Contact Information

KIDS FOR THE FUTURE OF MARIANNA, INC.
401 W MAIN ST
MARIANNA, AR72360-2102
 Phone: 870-295-5280
 Fax: 870-295-5390
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
 

Professional

101YP2500X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for KIDS FOR THE FUTURE OF MARIANNA, INC.

NPI Number 1285954339
LBN Legal business name KIDS FOR THE FUTURE OF MARIANNA, INC.
Authorized official THOMAS HEISLER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/10/2010
Last updated 06/10/2010 - About 16 years ago
Identifiers
AR License # 14012
AR Medicaid 181131724
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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