| Promise Land Estates, Llc | |
|
1411 Maple St North Little Rock AR 72114-4134 | |
| (501) 539-4470 | |
| (501) 791-3120 |
| Full Name | Promise Land Estates, Llc |
|---|---|
| Speciality | Lodging |
| Location | 1411 Maple St, North Little Rock, Arkansas |
| Authorized Official Name and Position | Avis Denise Winston (MANAGER) |
| Authorized Official Contact | 5015394470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Promise Land Estates, Llc 1411 Maple St North Little Rock AR 72114-4134 Ph: (501) 539-4770 | Promise Land Estates, Llc 1411 Maple St North Little Rock AR 72114-4134 Ph: (501) 539-4470 |
| NPI Number | 1588333223 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 03/22/2023 |
| Certification Date | 03/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588333223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 177F00000X | Lodging | (* (Not Available)) | Primary |
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