# ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Broadway Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407933674
- **Authorized official:** BONNIE QUIBODEAUX (CFO)
- **Authorized official phone:** (225) 769-7960

## Contact information

- **Practice address:** 7534 HIGHWAY 1, LOCKPORT, LA 70374-3437
- **Practice address phone:** (985) 532-1011
- **Practice address fax:** (985) 532-1015
- **Mailing address:** 7534 HIGHWAY 1, LOCKPORT, LA 70374-3437
- **Mailing address phone:** (985) 532-1011
- **Mailing address fax:** (985) 532-1015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 989 | LA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 05/07/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1515612 | — | LA |