Organization
HEAVEN SENT ADULT DAYCARE CENTER
Active
Organization
HEAVEN SENT ADULT DAYCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN DANETTE WALLS REGISTERED NURSE (RN/ADMINISTRATOR)
(501) 313-2961
Entity
Organization
Contact information
Practice address
5 INNWOOD CIR STE 110, LITTLE ROCK, AR 72211-2499
(501) 313-2961
(501) 904-2196
Mailing address
5 INNWOOD CIR STE 110, LITTLE ROCK, AR 72211-2499
(501) 313-2961
(501) 904-2196
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/26/2019
Last updated
09/18/2020
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