OrganizationActive
Evgueni Roudachevski, D.O.
NPI 1073914719 · Assisted Living Facility · Little Rock, AR
Provider details
- NPI number
- 1073914719
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Hapsy Glover, Apn(501) 227-8020
- License
- A03199 (AR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Practice location
11912 Kanis Rd Ste F2
Little Rock, AR 72211-3771
Phone: (501) 227-8020
Fax: (501) 227-8826
Approximate (ZIP-level) locationGet directions
Mailing address
11912 Kanis Rd Ste F2
Little Rock, AR 72211-3771
Registry dates
- Enumerated
- 2014-09-12
- Last updated
- 2014-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.