Healthcare Provider Details

I. General information

NPI: 1942853783
Provider Name (Legal Business Name): FRANCIS A. ALLEN SCHOOL FOR EXCEPTIONAL CHILDREN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2019
Last Update Date: 07/22/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 N TYLER ST
LITTLE ROCK AR
72205-3535
US

IV. Provider business mailing address

824 N TYLER ST
LITTLE ROCK AR
72205-3535
US

V. Phone/Fax

Practice location:
  • Phone: 501-664-2961
  • Fax: 501-664-6208
Mailing address:
  • Phone: 501-664-2961
  • Fax: 501-664-6208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHERRIE IVY
Title or Position: INTERIM DIRECTOR
Credential:
Phone: 501-664-2961