MEDICARE: MAGNET COVE SCHOOLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1093868945
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGNET COVE SCHOOLS

Provider Business Mailing Address
First Line	:	472 MAGNET SCHOOL ROAD
Second Line	:
City	:	MALVERN
State	:	AR
Zip	:	72104
Country	:	US
Telephone Number	:	501-778-2107
Fax Number	:

Provider Business Practice Location Address
First Line	:	472 MAGNET SCHOOL RD
Second Line	:
City	:	MALVERN
State	:	AR
Zip	:	72104-3590
Country	:	US
Telephone Number	:	501-778-2107
Fax Number	:

Authorized Official
Title or Position	:	SPECIAL EDUCATION SUPERVISOR
Name	:	REBECCA AUSTIN
Credential	:
Telephone Number	:	501-778-2107

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	08/22/2020

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Directions to “MAGNET COVE SCHOOLS ” Practice Location

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