NPI 1265663702

City of Fire Community Development, INC.

Organisation Point of Service Little Rock, AR

Practice location

Address: 8300 Geyer Springs Rd, Little Rock, AR 72209-4946
Phone: (501) 682-7550
Fax: (501) 682-7577

Authorised official

Name: Valerie Lashell Tatum
Title: Superintendent
Phone: (501) 682-7550

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 6044700 (AR)

Other Point of Service providers in Arkansas →

Registry record

NPI: 1265663702
Entity type: Organization
NPI issued: 31 Jul 2009
Record last updated: 31 Jul 2009

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.