MEDICARE: POSITION CPR LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)	12358	AR

General Provider Information

NPI Number	:	1831604024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITION CPR LLC

Provider Business Mailing Address
First Line	:	PO BOX 94545
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72190-4545
Country	:	US
Telephone Number	:	501-420-3703
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 JFK BLVD STE 94545
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-7310
Country	:	US
Telephone Number	:	501-420-3703
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MRS. TERRI J EVANS
Credential	:	RN
Telephone Number	:	501-420-3703

Provider Enumeration Date	:	12/10/2017
Last Update Date	:	01/22/2019

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Directions to “POSITION CPR LLC ” Practice Location

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