Healthcare Provider Details

I. General information

NPI: 1104088194
Provider Name (Legal Business Name): HAPPYLAND CHILDCARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 12/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2012 PINE ST
ARKADELPHIA AR
71923-4327
US

IV. Provider business mailing address

P O BOX 571 2012 PINE ST
ARKADELPHIA AR
71923
US

V. Phone/Fax

Practice location:
  • Phone: 870-246-4050
  • Fax: 870-246-4053
Mailing address:
  • Phone: 870-246-4050
  • Fax: 870-246-4053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number12407
License Number StateAR

VIII. Authorized Official

Name: MRS. JACKIE M CRAIG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 870-246-4050