Healthcare Provider Details

I. General information

NPI: 1669317681
Provider Name (Legal Business Name): DIANNE'S ADULT HEALTH DAYCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 S OHIO ST
PINE BLUFF AR
71601-5113
US

IV. Provider business mailing address

601 S OHIO ST
PINE BLUFF AR
71601-5113
US

V. Phone/Fax

Practice location:
  • Phone: 870-536-2844
  • Fax: 870-536-2844
Mailing address:
  • Phone: 870-536-2844
  • Fax: 870-536-2844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MISS TAJUANNA S SIMS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 870-536-2844