Organization
MIRA AT MAUMELLE
Active
Parent organization
MIRA AT MAUMELLE , LLC
Other names
Mira at Maumelle, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIRA AT MAUMELLE , LLC
Authorized official
CRAIG HANSON MBR (PARTNER/MANAGER)
(320) 492-5483
Entity
Organization
Contact information
Practice address
925 COUNTRY CLUB PARKWAY, MAUMELLE, AR, USA, MAUMELLE, AR 72113
(952) 254-1362
Mailing address
925 COUNTRY CLUB PARKWAY, MAUMELLE, AR 72113
(952) 254-1362
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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