Provider Demographics
NPI:1780372268
Name:HEALTHY LIVING AR
Entity type:Organization
Organization Name:HEALTHY LIVING AR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LANA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:NAYLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-960-5866
Mailing Address - Street 1:2201 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72206-1326
Mailing Address - Country:US
Mailing Address - Phone:501-960-5866
Mailing Address - Fax:501-371-0088
Practice Address - Street 1:1400 MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-5036
Practice Address - Country:US
Practice Address - Phone:501-371-0055
Practice Address - Fax:501-371-0088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility