SO
STATE OF ARKANSAS
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
NORTH LITTLE ROCK, AR
Licensed since
2016
Rate
—
Federal identifiers
NPI registry number1689117756
Agency details
Parent orgSTATE OF ARKANSAS
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NamePHOUA LEE
TitleFINANCE MANAGER
Phone5016831862
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Source: NPI Registry · Last refreshed June 24, 2026