Healthcare Provider Details

I. General information

NPI: 1366694671
Provider Name (Legal Business Name): THE UNITED METHODIST CHILREN'S HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2008
Last Update Date: 10/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 ALDERSGATE RD SUITE 200
LITTLE ROCK AR
72205-6614
US

IV. Provider business mailing address

2104 W BEEBE CAPPS EXPY
SEARCY AR
72143-5049
US

V. Phone/Fax

Practice location:
  • Phone: 501-661-0720
  • Fax: 501-687-0839
Mailing address:
  • Phone: 507-279-7193
  • Fax: 501-368-0449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. BECKY JONES
Title or Position: CFO
Credential:
Phone: 501-661-0720