Provider Demographics
NPI:1255734497
Name:KIDS FOR THE FUTURE OF PARKIN, INC.
Entity type:Organization
Organization Name:KIDS FOR THE FUTURE OF PARKIN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:H
Authorized Official - Last Name:GINTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-208-8362
Mailing Address - Street 1:206 LAKE STREET
Mailing Address - Street 2:
Mailing Address - City:PARKIN
Mailing Address - State:AR
Mailing Address - Zip Code:72373
Mailing Address - Country:US
Mailing Address - Phone:870-755-2737
Mailing Address - Fax:
Practice Address - Street 1:750 BRIDGES AVE E STE AB
Practice Address - Street 2:
Practice Address - City:WYNNE
Practice Address - State:AR
Practice Address - Zip Code:72396-2327
Practice Address - Country:US
Practice Address - Phone:870-208-8362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR074282163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty