Provider Demographics
NPI:1497503148
Name:MILLENNIUM ADULT DAY CARE, INC
Entity type:Organization
Organization Name:MILLENNIUM ADULT DAY CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-414-8698
Mailing Address - Street 1:9700 N RODNEY PARHAM RD STE B
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-6252
Mailing Address - Country:US
Mailing Address - Phone:501-414-8698
Mailing Address - Fax:501-414-8699
Practice Address - Street 1:9700 N RODNEY PARHAM RD STE B
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-6252
Practice Address - Country:US
Practice Address - Phone:501-414-8698
Practice Address - Fax:501-414-8699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care