Provider Demographics
NPI:1801024997
Name:D&J EARLY LEARNING&DEVEOPMENTAL CENTER INC.
Entity Type:Organization
Organization Name:D&J EARLY LEARNING&DEVEOPMENTAL CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEPPARD
Authorized Official - Suffix:
Authorized Official - Credentials:DEVELOPEMENTAL THARP
Authorized Official - Phone:870-807-0599
Mailing Address - Street 1:2302 OUACHITA 4
Mailing Address - Street 2:
Mailing Address - City:STEPHENS
Mailing Address - State:AR
Mailing Address - Zip Code:71764-9196
Mailing Address - Country:US
Mailing Address - Phone:870-807-0599
Mailing Address - Fax:870-879-1998
Practice Address - Street 1:2302 OUACHITA 4
Practice Address - Street 2:
Practice Address - City:STEPHENS
Practice Address - State:AR
Practice Address - Zip Code:71764-9196
Practice Address - Country:US
Practice Address - Phone:870-807-0599
Practice Address - Fax:870-879-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities