Provider Demographics
NPI:1285134668
Name:FUTURE SCHOOL
Entity type:Organization
Organization Name:FUTURE SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPED DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:479-431-8695
Mailing Address - Street 1:622 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72901-2018
Mailing Address - Country:US
Mailing Address - Phone:479-689-8695
Mailing Address - Fax:
Practice Address - Street 1:622 N 7TH ST
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901-2018
Practice Address - Country:US
Practice Address - Phone:479-689-8695
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-13
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR6640261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech