Healthcare Provider Details

I. General information

NPI: 1346807070
Provider Name (Legal Business Name): ACCESSIBLE SOLUTIONS FOR INDEPENDENCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2019
Last Update Date: 05/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 SURRY PL
LITTLE ROCK AR
72211-5555
US

IV. Provider business mailing address

5 SURRY PL
LITTLE ROCK AR
72211-5555
US

V. Phone/Fax

Practice location:
  • Phone: 501-247-1150
  • Fax:
Mailing address:
  • Phone: 501-247-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: DENIECE LAWRENCE
Title or Position: BILLING SPECIALIST
Credential:
Phone: 501-312-1000