Healthcare Provider Details

I. General information

NPI: 1669853214
Provider Name (Legal Business Name): BEAN'S TOTS AND TODDLERS LEARNING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2015
Last Update Date: 06/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 RACE ST
JONESBORO AR
72401-7419
US

IV. Provider business mailing address

3401 RACE ST
JONESBORO AR
72401-7419
US

V. Phone/Fax

Practice location:
  • Phone: 870-933-1989
  • Fax: 870-268-6705
Mailing address:
  • Phone: 870-933-1989
  • Fax: 870-268-6705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM3000X
TaxonomyMedically Fragile Infants and Children Day Care
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK BEAN
Title or Position: OWNER
Credential:
Phone: 870-933-1989