NPI 1205276581

A Divine Touch II Childcare Center,inc

Organisation Exclusive Provider Organization Jacksonville, AR

Practice location

Address: 213 W Main St, Jacksonville, AR 72076-4504
Phone: (501) 612-4406
Fax: (501) 985-0054

Authorised official

Name: Antoinette Williams
Title: Owner
Phone: (501) 612-4406

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Arkansas →

Registry record

NPI: 1205276581
Entity type: Organization
NPI issued: 1 Jul 2013
Record last updated: 1 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.