Provider Demographics
NPI:1104641117
Name:MORNINGSIDE HEALTHCARE & LIVING CENTER LLC
Entity type:Organization
Organization Name:MORNINGSIDE HEALTHCARE & LIVING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
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:
Practice Address - Street 1:1501 MAIN ST # 600
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-5037
Practice Address - Country:US
Practice Address - Phone:501-960-5866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care