KIDSCORP OF FAYETTEVILLE, INC
Ambulatory Health at Colt Square Dr, Fayetteville, AR

License number
Arkansas 28786
Category
Ambulatory Health
Type
Developmental Disabilities
Owner
Name: SHELIA WILKERSON MSPT
Title: CLINICAL DIRECTOR
Phone: (479) 986-5150
Address
Address
97 W Colt Square Dr, Fayetteville, AR 72703
National Provider ID: 1790124659
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KIDSCORP OF FAYETTEVILLE, INC

97 Colt Sq, Fayetteville, AR 72703

Registration:
Apr 17, 2013
State ID:
811032511
Business type:
For Profit Corporation
Tax Preparers:
Sheila Wilkerson (Incorporator/Organizer),Richard W Wilde (Incorporator/Organizer),W. Pagan (Incorporator/Organizer),...
Filled under act:
Dom Bus Corp; 958 of 1987

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