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NPI Code Detail

MEDICARE: SCHOLARMADE ACHIEVEMENT PLACE OF ARKANSAS

MEDICARE: SCHOLARMADE ACHIEVEMENT PLACE OF ARKANSAS
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
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1881151173
Entity Type Code : Organization
Provider Name (Legal Business Name) : SCHOLARMADE ACHIEVEMENT PLACE OF ARKANSAS
Provider Business Mailing Address
First Line : PO BOX 55930
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72215-5930
Country : US
Telephone Number : 501-404-0012
Fax Number :
Provider Business Practice Location Address
First Line : 2410 S BATTERY ST
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72206-1828
Country : US
Telephone Number : 501-404-0012
Fax Number :
Authorized Official
Title or Position : SUPERINTENDENT
Name : DR. PHILLIS ANDERSON
Credential : ED.D
Telephone Number : 501-404-0012
Provider Enumeration Date : 02/22/2019
Last Update Date : 03/26/2019

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Directions to “SCHOLARMADE ACHIEVEMENT PLACE OF ARKANSAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.