Provider Demographics
NPI:1437283421
Name:YELL COUNTY SPECIAL SERVICES CENTER, INC.
Entity Type:Organization
Organization Name:YELL COUNTY SPECIAL SERVICES CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-489-5624
Mailing Address - Street 1:PO BOX 177
Mailing Address - Street 2:
Mailing Address - City:OLA
Mailing Address - State:AR
Mailing Address - Zip Code:72853-0177
Mailing Address - Country:US
Mailing Address - Phone:479-489-5624
Mailing Address - Fax:479-489-5623
Practice Address - Street 1:418 NORTH 7TH
Practice Address - Street 2:
Practice Address - City:OLA
Practice Address - State:AR
Practice Address - Zip Code:72853
Practice Address - Country:US
Practice Address - Phone:479-489-5624
Practice Address - Fax:479-489-5623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services