# ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastridge Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871670059
- **Authorized official:** BONNIE QUIBODEAUX (CFO)
- **Authorized official phone:** (225) 769-7960

## Contact information

- **Practice address:** 2305 RICHARD ST, ABBEVILLE, LA 70510-3223
- **Practice address phone:** (337) 892-9800
- **Practice address fax:** (337) 892-9875
- **Mailing address:** 2305 RICHARD ST, ABBEVILLE, LA 70510-3223
- **Mailing address phone:** (337) 892-9800
- **Mailing address fax:** (337) 892-9875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 748 | LA | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1521124 | — | LA |