Provider Demographics
NPI:1174854954
Name:STEP BY STEP SENIOR CARE INC
Entity Type:Organization
Organization Name:STEP BY STEP SENIOR CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CLAIRSE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:TATUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-562-0880
Mailing Address - Street 1:6917 GEYER SPRINGS RD STE 6S
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72209-2760
Mailing Address - Country:US
Mailing Address - Phone:501-562-0880
Mailing Address - Fax:501-562-0998
Practice Address - Street 1:6917 GEYER SPRINGS RD STE 6S
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72209-2760
Practice Address - Country:US
Practice Address - Phone:501-562-0880
Practice Address - Fax:501-562-0998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management