Healthcare Provider Details
I. General information
NPI: 1285561241
Provider Name (Legal Business Name): ARMISE DYKES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5818 TIMBERSIDE RD
LITTLE ROCK AR
72204-8554
US
IV. Provider business mailing address
5818 TIMBERSIDE RD
LITTLE ROCK AR
72204-8554
US
V. Phone/Fax
- Phone: 404-587-0351
- Fax:
- Phone: 404-587-0351
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: