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Contact Information

LAURA B MARSOLAN, ECDS
3100 APACHE DR
JONESBORO, AR72401-7404
 Phone: 870-333-5437
 Fax: 870-333-5237
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medically Fragile Infants and Children Day Care

261QM3000X
Indicates primary specialty

NPI Profile & details for

NPI # 1700455516
Entity Organization
Organization subpart 1 Not specified
Enumeration date 06/24/2021
Last updated 06/24/2021 - About 5 years ago
Identifiers
AR Medicaid 1164957080
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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