Organization · NPI-2

Encore Health, P.A.

Clinic/Center · North Little Rock, AR

NPI number1508108416
StatusActive
Last updated in NPPESMar 19, 2013

Details

NPI
1508108416
Entity type
Organization (NPI-2)
Legal business name
Encore Health, P.A.
Organization subpart
No
Enumeration date
Mar 19, 2013
Last updated
Mar 19, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

4617 E Mccain Blvd
North Little Rock, AR 72117-2904

Phone 501-945-0680

Mailing address

4617 E Mccain Blvd
North Little Rock, AR 72117-2904

Phone 501-945-0680

Authorized official

Andy Davis
Clinic Director
5019450680

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