Organization · NPI-2

Apollo Health, LLC

Family Medicine · Little Rock, AR

NPI number1003425703

StatusActive

Last updated in NPPESJul 28, 2020

Details

NPI: 1003425703
Entity type: Organization (NPI-2)
Legal business name: Apollo Health, LLC
Organization subpart: No
Enumeration date: Jul 28, 2020
Certification date: Jul 28, 2020
Last updated: Jul 28, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
101YM0800X	Counselor, Mental Health	–	–

Practice location

11715 Rainwood Rd Ste B6
Little Rock, AR 72212-3968

Phone 479-242-1003 · Fax 479-782-5502

Mailing address

11715 Rainwood Rd Ste B6
Little Rock, AR 72212-3968

Phone 479-242-1003 · Fax 479-782-5502

Authorized official

Sarah Rackley
Office Manager
4792421003

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.