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Contact Information

MALCBNDR581, LLC
6411 VALLEY RANCH DR
LITTLE ROCK, AR72223
 Phone: 601-853-2667
 Fax: 601-853-2116
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for MALCBNDR581, LLC

NPI Number 1558697227
LBN Legal business name MALCBNDR581, LLC
Authorized official DAVID ROTOLO - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/30/2009
Last updated 11/19/2014 - About 12 years ago
Identifiers
AR Other 045431 MEDICARE PTAN
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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