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Contact Information

KIDS FOR THE FUTURE OF WESTERN BENTON COUNTY, LLC
425 S MAIN ST
DECATUR, AR72722-9799
 Phone: 479-212-5030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for KIDS FOR THE FUTURE OF WESTERN BENTON COUNTY, LLC

NPI Number 1306591201
LBN Legal business name KIDS FOR THE FUTURE OF WESTERN BENTON COUNTY, LLC
Authorized official SHELIA WILKERSON - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/18/2022
Last updated 02/18/2022 - About 4 years ago
Identifiers n/a
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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