Provider Demographics
NPI:1023411006
Name:KIDS FOR THE FUTURE OF FORREST CITY, INC.
Entity type:Organization
Organization Name:KIDS FOR THE FUTURE OF FORREST CITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GINTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-208-8362
Mailing Address - Street 1:3998 HIGHWAY 1 N
Mailing Address - Street 2:BESS GINTY
Mailing Address - City:FORREST CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72335-7637
Mailing Address - Country:US
Mailing Address - Phone:870-633-1737
Mailing Address - Fax:
Practice Address - Street 1:3998 HIGHWAY 1 N
Practice Address - Street 2:BESS GINTY
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335-7637
Practice Address - Country:US
Practice Address - Phone:870-633-1737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-03
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR67037163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty