Awareness Care LLC
Exclusive Provider Organization in Little Rock, AR. Organization (NPI-2).
NPI number1669907408
StatusActive
Last updated in NPPESOct 21, 2025
Details
- NPI
- 1669907408
- Entity type
- Organization (NPI-2)
- Legal business name
- Awareness Care LLC
- Organization subpart
- No
- Enumeration date
- May 1, 2017
- Certification date
- Oct 21, 2025
- Last updated
- Oct 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | 300155 | AR | Yes |
Practice location
900 S Pine StLittle Rock, AR 72204-2073
Phone 501-612-4406
Mailing address
900 S Pine StLittle Rock, AR 72204-2073
Phone 501-612-4406
Authorized official
Antonette Williams
Owner/Administrator
5016813509
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