| Organization Name: | OUR MOMMY'S AND DADDDY'S ADULT DAY CARE CENTER |
| NPI Number: | 1023394608 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAXCINE HENDERSON (DIRECTOR) |
| Mailing Address: | 1406 E Harding Ave Pine Bluff |
| State: | AR US |
| Postal Code: | 716016168 |
| Phone Number: | 8705367404 |
| Fax Number: | |
| NPI Enumeration Date: | 10/27/2011 |
| NPI Last Update Date: | 10/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 146 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |