Brogdon-Prince Management Company, LLC

NPI #1982361226 in Benton, Arkansas

Provider Information

NPI Number: 1982361226
Entity Type: Organization
Organization Name: Brogdon-Prince Management Company, LLC
Primary Specialty: Clinic/Center - Developmental Disabilities
Enumeration Date: Nov 22, 2021
Last Updated: Nov 22, 2021

Practice Location

Address: 3214 WINCHESTER
City: Benton
State: Arkansas
ZIP Code: 72015-2929
Phone: (501) 794-6482

Authorized Official

Name: WILLIAM SIMS, M.ED.
Title: VP OF OPERATIONS
Phone: (501) 850-8788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X	Primary

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