Healthcare Provider Details

I. General information

NPI: 1760650642
Provider Name (Legal Business Name): PEOPLE ADVOCATING TRANSITIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2008
Last Update Date: 02/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3223 E BROADWAY ST
NORTH LITTLE ROCK AR
72114-6344
US

IV. Provider business mailing address

3223 E BROADWAY ST
NORTH LITTLE ROCK AR
72114-6344
US

V. Phone/Fax

Practice location:
  • Phone: 501-945-5544
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateAR

VIII. Authorized Official

Name: MR. RONALD KIRBY
Title or Position: DIRECTOR
Credential:
Phone: 501-945-5544