| The Center Health & Wellness | |
|
3801 Jfk Blvd Ste C North Little Rock AR 72116-8247 | |
| (501) 712-4333 | |
| (501) 712-4333 |
| Full Name | The Center Health & Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 3801 Jfk Blvd Ste C, North Little Rock, Arkansas |
| Authorized Official Name and Position | Crystal Lackey (CO-DIRECTOR) |
| Authorized Official Contact | 5017124333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center Health & Wellness 3801 Jfk Blvd Ste C North Little Rock AR 72116-8247 Ph: (501) 712-4333 | The Center Health & Wellness 3801 Jfk Blvd Ste C North Little Rock AR 72116-8247 Ph: (501) 712-4333 |
| NPI Number | 1013407741 |
|---|---|
| Provider Enumeration Date | 05/17/2018 |
| Last Update Date | 12/11/2018 |
| Medicare PECOS PAC ID | 3476897968 |
|---|---|
| Medicare Enrollment ID | O20181211001367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013407741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Crystal N Lackey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255603486 PECOS PAC ID: 0244576098 Enrollment ID: I20190115002949 |
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