Healthcare Provider Details

I. General information

NPI: 1942948005
Provider Name (Legal Business Name): VIKITA L STRONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2022
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 BRADLEY ROAD 374
BANKS AR
71631-8701
US

IV. Provider business mailing address

156 BRADLEY ROAD 374
BANKS AR
71631-8701
US

V. Phone/Fax

Practice location:
  • Phone: 501-683-8963
  • Fax:
Mailing address:
  • Phone: 501-683-8963
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: