Provider Demographics
NPI:1811144520
Name:PEACE OF MIND CHILD CARE CENTER
Entity type:Organization
Organization Name:PEACE OF MIND CHILD CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES HARGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-565-4588
Mailing Address - Street 1:P.O. BOX 190483
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72219
Mailing Address - Country:US
Mailing Address - Phone:501-565-4588
Mailing Address - Fax:
Practice Address - Street 1:8919 GARDNER RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209
Practice Address - Country:US
Practice Address - Phone:501-565-4588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR168545742Medicaid