Organization · Type 2 NPI

Full Potential

Pediatric Skilled Nursing Facility · Little Rock, AR

NPI number 1174891808 Active

Practice location

8109 Interstate 30
Little Rock, AR 72209

Mailing address

P.o. Box 244
Mabelvale, AR 72103

Specialties and licenses

TaxonomyCodeLicense
Pediatric Skilled Nursing Facility Primary 3140N1450XL46656 (AR)

Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

19 other providers at this address

About NPI 1174891808

Full Potential's National Provider Identifier is 1174891808, issued on Dec 8, 2011. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Little Rock, AR. The record was last updated on Dec 8, 2011.