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Organization
UNIVERSAL PERSONAL CARE OF LITTLE ROCK
Active
Organization
UNIVERSAL PERSONAL CARE OF LITTLE ROCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BOUVIER STEVENS (OWNER)
(504) 942-6631
Entity
Organization
Contact information
Practice address
1405 FAIR PARK BLVD, LITTLE ROCK, AR 72204-2715
(504) 942-6631
Mailing address
1405 FAIR PARK BLVD, LITTLE ROCK, AR 72204-2715
(504) 942-6631
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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