Organization
LITTLE ROCK ENRICHMENT CENTER, INC.
Active
Other names
Adult Day Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIC LAMONT WASHINGTON RN (PRESIDENT/ DIRECTOR/ OWNER/ MANAGER)
(501) 310-1150
Entity
Organization
Contact information
Practice address
13003 STACY LN, LITTLE ROCK, AR 72211-3238
(501) 310-1150
(501) 353-0806
Mailing address
13003 STACY LN, LITTLE ROCK, AR 72211-3238
(501) 310-1150
(501) 353-0806
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
149
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188967756
—
AR
05
—
188968755
—
AR
05
—
192059757
—
AR
Enumeration date
06/27/2012
Last updated
06/28/2012
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