Organization
SELF RELIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAGOMED KHAIDAKOV (PRESIDENT)
(501) 658-8057
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE A-14, LITTLE ROCK, AR 72205-5302
(501) 671-6200
(501) 671-6205
Mailing address
500 S UNIVERSITY AVE, SUITE A-14, LITTLE ROCK, AR 72205-5302
(501) 671-6200
(501) 671-6205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175796716
—
AR
Enumeration date
06/09/2008
Last updated
03/31/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us