Organization
STATE OF ARKANSAS
Active
Other names
In Home Services MIP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN GRAZIANI (DIRECTOR)
(501) 661-2154
Entity
Organization
Contact information
Practice address
5800 W 10TH ST, SUITE 300, LITTLE ROCK, AR 72204-1752
(501) 661-2873
(501) 280-4619
Mailing address
MATERNAL INFANT SLOT H5, PO BOX 1437, LITTLE ROCK, AR 72203-1437
(501) 661-2873
(501) 280-4619
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up