Organization · Type 2 NPI

Evgueni Roudachevski, D.o.

Assisted Living Facility · Little Rock, AR

NPI number 1073914719 Active

Practice location

11912 Kanis Rd Ste F2
Little Rock, AR 72211-3771

Call (501) 227-8020 Map

Fax (501) 227-8826

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XA03199 (AR)
Skilled Nursing Facility 314000000XA03199 (AR)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

3 other providers at this address

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About NPI 1073914719

Evgueni Roudachevski, D.o.'s National Provider Identifier is 1073914719, issued on Sep 12, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Little Rock, AR. The record was last updated on Sep 12, 2014.