Provider Demographics
NPI:1528749488
Name:NAYLES, LANA ELIZABETH
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:ELIZABETH
Last Name:NAYLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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 1:7 YOUNGER PL
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72206-3538
Practice Address - Country:US
Practice Address - Phone:501-960-5866
Practice Address - Fax:501-371-0088
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-25
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child