Most Relevant Information
Provider Data
| NPI Number: | 1003366980 |
| Provider Name: | JAMES EVERITT |
| Entity Type: | Individual |
| Taxonomy Code: | 313M00000X |
| Specialty: | Nursing Facility/Intermediate Care Facility |
| License Number: | OT-A738 |
Most Important Dates
| Enumeration Date: | 10/04/2016 |
| Last Updated: | 10/04/2016 |
Provider Practice Location
5720 W MARKHAM ST
LITTLE ROCK
AR
722053328
Practice Location Phone/Fax
| Phone: | 5018052895 |
| Fax: |
Provider Mailing Location
3200 MCKENSIE DR
BENTON
AR
720154956
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |