Organization
ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC.
Active
Other names
The Broadway Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE QUIBODEAUX (CFO)
(225) 769-7960
Entity
Organization
Contact information
Practice address
7534 HIGHWAY 1, LOCKPORT, LA 70374-3437
(985) 532-1011
(985) 532-1015
Mailing address
7534 HIGHWAY 1, LOCKPORT, LA 70374-3437
(985) 532-1011
(985) 532-1015
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
989
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515612
—
LA
Enumeration date
11/01/2006
Last updated
05/07/2021
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