IndividualActive
James Everitt
NPI 1003366980 · Nursing Facility/Intermediate Care Facility · Little Rock, AR
Provider details
- NPI number
- 1003366980
- Entity type
- Individual
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- OT-A738 (AR)
Mailing address
3200 Mckensie Dr
Benton, AR 72015-4956
Registry dates
- Enumerated
- 2016-10-04
- Last updated
- 2016-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.