Healthcare Provider Details

I. General information

NPI: 1942356993
Provider Name (Legal Business Name): STEPPING STONE SCHOOL FOR EXCEPTIONAL CHILDREN,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 THICKSTEN DRIVE
ALMA AR
72956
US

IV. Provider business mailing address

PO BOX 2389
ALMA AR
72921-2389
US

V. Phone/Fax

Practice location:
  • Phone: 479-632-3813
  • Fax: 479-632-8986
Mailing address:
  • Phone: 479-632-3813
  • Fax: 479-632-8986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number710DD6024
License Number StateAR

VIII. Authorized Official

Name: MS. TONI D WILSON
Title or Position: EXECUTIVE DIRECTOR
Credential: M.ED
Phone: 479-632-3813