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Kidscorp Of Fayetteville, Inc
Developmental Disabilities Clinic/Center in Springdale, Arkansas
NPI 1790124659

Kidscorp Of Fayetteville, Inc is a Developmental Disabilities Clinic/Center based in Rogers, AR and is specialized in Developmental Disabilities. Kidscorp Of Fayetteville, Inc practices in Springdale, AR. The NPI Number for Kidscorp Of Fayetteville, Inc is 1790124659 and holds a License No. 28786 (Arkansas).

The current practice location address for Kidscorp Of Fayetteville, Inc is 2210 Main Dr, Springdale, AR and can be reached out via phone at 479-856-6397 and via fax at 479-856-6412.

Location: 2210 Main Dr, Springdale, AR, 72757-0130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790124659
Provider Name
Kidscorp Of Fayetteville, Inc
Credential
Provider Entity Type
Organization
Address
2210 Main Dr, Springdale, AR, 72757-0130
Phone Number
479-856-6397
Fax Number
479-856-6412
Provider Enumeration Date
06/24/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
198277724 05 AR
institution
Provider Business Practice Location Address Details
Address
2210 Main Dr
City
Springdale
State
Arkansas
Zip
72762-6802
Phone Number
479-856-6397
Fax Number
479-856-6412
person
Provider Business Mailing Address Details
Address
2210 Main Dr
City
Springdale
State
Arkansas
Zip
72762-6802
Phone Number
479-856-6397
Fax Number
479-856-6412
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
28786 (Arkansas)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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