MIRA AT MAUMELLE; NPI #1649051665

Contact Information

MIRA AT MAUMELLE

925 COUNTRY CLUB PARKWAY, MAUMELLE, AR, USA
MAUMELLE, AR 72113

Phone: 952-254-1362
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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NPI Profile & details for MIRA AT MAUMELLE

NPI #	`1649051665`
LBN Legal business name	MIRA AT MAUMELLE
Authorized official	CRAIG HANSON - (PARTNER/MANAGER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	10/06/2023
Last updated	10/06/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MIRA AT MAUMELLE

Contact Information

Specialty

Assisted Living Facility

NPI Profile & details for MIRA AT MAUMELLE

Reviews for MIRA AT MAUMELLE