NPI 1073914719

Evgueni Roudachevski, D.O.

Organisation Assisted Living Facility Little Rock, AR

Practice location

Address: 11912 Kanis Rd STE F2, Little Rock, AR 72211-3771
Phone: (501) 227-8020
Fax: (501) 227-8826

Authorised official

Name: Hapsy Glover
Title: Apn
Phone: (501) 227-8020

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence A03199 (AR)

Other Assisted Living Facility providers in Arkansas →

Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence A03199 (AR)

Other Skilled Nursing Facility providers in Arkansas →

Registry record

NPI: 1073914719
Entity type: Organization
NPI issued: 12 Sep 2014
Record last updated: 12 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.