OrganizationActive
Kina Burruss
NPI 1790197473 · Developmentally Disabled Services Day Training Agency · Malvern, AR
Provider details
- NPI number
- 1790197473
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kina Burruss, Developmental Therapist(501) 337-2153
- License
- 222Q00000X (AR)
Specialties & taxonomies
Agencies
Practice location
1501 Dogwood Trl
Malvern, AR 72104-4513
Phone: (501) 337-2153
Approximate (ZIP-level) locationGet directions
Mailing address
1501 Dogwood Trl
Malvern, AR 72104-4513
Registry dates
- Enumerated
- 2014-05-29
- Last updated
- 2014-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.