Organization
HOME TO COMMUNITY LIVING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REESHEMA BRITT (DIRECTOR)
(501) 960-0067
Entity
Organization
Contact information
Practice address
10201 W MARKHAM STREET PULASKI, LITTLE ROCK, AR 72205
(501) 960-0067
(501) 222-1419
Mailing address
1 DOVER DR, LITTLE ROCK, AR 72204
(501) 960-0067
(501) 222-1419
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15075
—
AR
Enumeration date
05/12/2019
Last updated
05/12/2019
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