Broderick Parker in Little Rock - Day Training/habilitation Specialist

Broderick Parker - NPI 1154538932

Broderick Parker is a Day Training/habilitation Specialist in Little Rock, Arkansas. Broderick Parker practices all healthcare services and medical treatments related to Day Training/habilitation Specialist. The NPI Number for Broderick Parker is 1154538932. The last update date is 2010-09-13.

Broderick Parker's current location address is 20400 Col.glenn Rd., Little Rock, Arkansas. You can contact this provider via phone number 5018215500 and fax number 5018217068. The mailing address for Broderick Parker is 20400 Col.glenn Rd., Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Broderick Parker
Address 20400 Col.glenn Rd., Little Rock, Arkansas
Phone Number 5018215500
Fax Number 5018217068
Sole Proprietor N
Credentials MHPP

NPI Number Detail

NPI Number 1154538932
Provider Enumeration Date 2007-05-17
Last Updated Date 2010-09-13

Provider Mailing Address Detail

Address 20400 Col.glenn Rd.
City Little Rock
State Arkansas (AR)
Post Code 722105323
Phone Number 5018215500
Fax Number 5018217068

Provider's Primary Taxonomy Detail

Speciality Day Training/habilitation Specialist
Taxonomy 373H00000X
Definition:
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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FAQs about Broderick Parker

What is the unique 10-digit identifier code issued to Broderick Parker by the Centers for Medicare & Medicaid Services?

The Broderick Parker has been assigned the NPI (National Provider Identifier) 1154538932 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Broderick Parker?

The Broderick Parker is physically situated at 20400 Col.Glenn Rd., in the city of Little Rock, state of AR, with the postal code 722105323.

What is Broderick Parker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Broderick Parker is Day Training/habilitation Specialist, and the taxonomy classification code that categorizes this area of expertise is 373H00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1154538932 to Broderick Parker?

The Centers for Medicare & Medicaid Services originally issued the 1154538932 to Broderick Parker on 2007-05-17.

As of what date was the information pertaining to Broderick Parker, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Broderick Parker, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-09-13.

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