Provider Demographics
NPI:1417072208
Name:VAN BUREN COUNTY SPECIAL SCHOOL
Entity Type:Organization
Organization Name:VAN BUREN COUNTY SPECIAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:501-745-4580
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:
Mailing Address - City:CHOCTAW
Mailing Address - State:AR
Mailing Address - Zip Code:72028-0039
Mailing Address - Country:US
Mailing Address - Phone:501-745-4580
Mailing Address - Fax:501-745-5919
Practice Address - Street 1:3707 HWY 95 EAST
Practice Address - Street 2:
Practice Address - City:CHOCTAW
Practice Address - State:AR
Practice Address - Zip Code:72028-0039
Practice Address - Country:US
Practice Address - Phone:501-745-4580
Practice Address - Fax:501-745-5919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services