Dermott Day Service Center, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

01270 Issued in AR

Legal business name

DERMOTT DAY SERVICE CENTER, INC.

Doing business as

MORRIS BOOKER EARLY CHILDHOOD

Practice address

817 North School Street
Dermott, AR 71638

Phone

(870) 538-3043

Fax

(870) 538-9080

NPI assigned

Mar 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jonathan Hudson

Title

Business Manager

Phone

(870) 538-3043

Specialties & licenses 1

Addresses

Other names 1

• MORRIS BOOKER EARLY CHILDHOOD Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1730219353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "716380338",
            "telephone_number": "870-538-3043",
            "fax_number": "870-538-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 NORTH SCHOOL STREET",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "71638",
            "telephone_number": "870-538-3043",
            "fax_number": "870-538-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMOTT DAY SERVICE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "870-538-3043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AR",
            "license": "01270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORRIS BOOKER EARLY CHILDHOOD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Dermott, AR
• Providers in Dermott, AR by specialty
• Developmentally Disabled Services Day Training Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.