NPI 1487477717
Ivq Little Rock Opco LP
Practice location
- Address
- 2501 Aldersgate Rd, Little Rock, AR 72205-7205
- Phone
- (501) 260-7407
- Mailing address
- 1734 Gilsinn Ln, Fenton, MO 63026-2004
Authorised official
- Name
- Tyler Scott Brady
- Title
- Cfo
- Phone
- (314) 440-2781
Registered specialties (2)
Assisted Living Facility
Primary
Alzheimer Center (Dementia Center)
Registry record
- NPI
- 1487477717
- Entity type
- Organization
- NPI issued
- 5 Nov 2024
- Record last updated
- 5 Nov 2024
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.