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
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | L46656 (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
- Full PotentialPrimary Care Clinic/Center Little Rock, AR NPI 1427379387
- Supermarket Investors Inc.Pharmacy Little Rock, AR NPI 1750555447
- Angela Russell, MSPTSpecialist Little Rock, AR NPI 1588798235
- Anthonette Barron, NURSELicensed Practical Nurse Little Rock, AR NPI 1093227811
- April Lanelle Barnes, M.S. CCC-SLPSpeech-Language Pathologist Little Rock, AR NPI 1982941928
- Christine Beall Broussard, PT, DPTPhysical Therapist Little Rock, AR NPI 1174813679
- Danntionnette WebsterDay Training/Habilitation Specialist Little Rock, AR NPI 1831600873
- Kathy Vann, ECDSDay Training/Habilitation Specialist Little Rock, AR NPI 1386155315
- Kelly Elise Jackson, COTA/LOccupational Therapy Assistant Little Rock, AR NPI 1073998621
- Kem WeathersbySpeech-Language Pathologist Little Rock, AR NPI 1073679957
- Liza De JesusBehavior Technician Little Rock, AR NPI 1811863269
- Mallory Whitworth, RNRegistered Nurse Little Rock, AR NPI 1255229902
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.