Provider Demographics
NPI:1023572005
Name:DAVIS MILLER ENTERPRISES, LLC
Entity Type:Organization
Organization Name:DAVIS MILLER ENTERPRISES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-673-3166
Mailing Address - Street 1:16623 CANTRELL RD STE 1B
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-4100
Mailing Address - Country:US
Mailing Address - Phone:501-673-3166
Mailing Address - Fax:501-367-8176
Practice Address - Street 1:16623 CANTRELL RD STE 1B
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-4100
Practice Address - Country:US
Practice Address - Phone:501-673-3166
Practice Address - Fax:501-367-8176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care