Healthcare Provider Details

I. General information

NPI: 1235702473
Provider Name (Legal Business Name): LOIS ARCHABLE'S EDUCATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2021
Last Update Date: 07/26/2021
Certification Date: 07/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 S JACKSON ST
LITTLE ROCK AR
72204-2834
US

IV. Provider business mailing address

268 BLOSSOM LN
HURST TX
76053-6367
US

V. Phone/Fax

Practice location:
  • Phone: 214-536-1354
  • Fax:
Mailing address:
  • Phone: 214-536-1354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: LOIS ARCHABLE MORTON
Title or Position: OWNER
Credential:
Phone: 214-536-1354