Provider Demographics
NPI:1427166768
Name:HOPE FOR TOMORROW PEDIATRIC FOUNDATION
Entity type:Organization
Organization Name:HOPE FOR TOMORROW PEDIATRIC FOUNDATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATTIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MENDENHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-267-4673
Mailing Address - Street 1:91 NEAL ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:AR
Mailing Address - Zip Code:72730-3122
Mailing Address - Country:US
Mailing Address - Phone:479-267-4673
Mailing Address - Fax:479-267-4880
Practice Address - Street 1:91 NEAL ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:AR
Practice Address - Zip Code:72730-3122
Practice Address - Country:US
Practice Address - Phone:479-267-4673
Practice Address - Fax:479-267-4880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5C330OtherBCBLS