Healthcare Provider Details

I. General information

NPI: 1306172440
Provider Name (Legal Business Name): AFRICAN WOMEN'S HEALTH PROJECT INTERNATIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2009
Last Update Date: 10/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S SPRING ST SUITE 615
LITTLE ROCK AR
72201-2444
US

IV. Provider business mailing address

PO BOX 55793
LITTLE ROCK AR
72215-5793
US

V. Phone/Fax

Practice location:
  • Phone: 501-343-5780
  • Fax:
Mailing address:
  • Phone: 501-343-5780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateAR

VIII. Authorized Official

Name: MS. DEUN A OGUNLANA
Title or Position: EXECUTIVE DIRECTOR
Credential: CTC
Phone: 501-343-5780