Healthcare Provider Details

I. General information

NPI: 1174448690
Provider Name (Legal Business Name): FAMILIE TIEZ DAYCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 AR 463
TRUMAN AR
72405-9400
US

IV. Provider business mailing address

252 WOLF DEN DR
JONESBORO AR
72405-9400
US

V. Phone/Fax

Practice location:
  • Phone: 870-897-0087
  • Fax:
Mailing address:
  • Phone: 870-897-0087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TIERANY L COX
Title or Position: DAYCARE OWNER
Credential: COX
Phone: 870-897-0087