Organization
PERSISGLOBAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA LOIS PERCY (MANAGER)
(501) 400-4655
Entity
Organization
Contact information
Practice address
1224 W 49TH ST, NORTH LITTLE ROCK, AR 72118-3916
(501) 400-4655
(501) 313-5378
Mailing address
1224 W 49TH ST, NORTH LITTLE ROCK, AR 72118-3916
(501) 400-4655
(501) 313-5378
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
904123921
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26
—
AR
05
—
904123921
—
AR
Enumeration date
05/09/2016
Last updated
05/09/2016
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