Healthcare Provider Details

I. General information

NPI: 1780879361
Provider Name (Legal Business Name): HOURS OF JOY CHILD CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2007
Last Update Date: 09/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 MAIN ST
ARKADELPHIA AR
71923-6347
US

IV. Provider business mailing address

221 MAIN ST
ARKADELPHIA AR
71923-6347
US

V. Phone/Fax

Practice location:
  • Phone: 870-246-8212
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number302R00000X
License Number StateAR

VIII. Authorized Official

Name: MR. JOHNNY CHARLES HARRIS
Title or Position: C. E. O.
Credential:
Phone: 870-246-8212