Healthcare Provider Details

I. General information

NPI: 1417780594
Provider Name (Legal Business Name): NEW DIRECTION EMPLOYMENT NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2024
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 W MARKHAM ST STE 323
LITTLE ROCK AR
72205-2195
US

IV. Provider business mailing address

3521 DORSET DR
LITTLE ROCK AR
72204-4231
US

V. Phone/Fax

Practice location:
  • Phone: 501-993-0159
  • Fax:
Mailing address:
  • Phone: 501-864-9056
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: TONYA TURNER-LARRY
Title or Position: CEO
Credential:
Phone: 501-864-9056