W.A. LUCKY LLC.
Managed Care Organizations at College Ave, Fayetteville, AR

License number
Arkansas A003800
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: MR. LARRY WALKER
Title: OWNER
Phone: (479) 442-5677
Address
Address
1753 N College Ave STE. 100, Fayetteville, AR 72703
National Provider ID: 1194068734
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about W.A. LUCKY LLC. at bizstanding.com

W.A. LUCKY, LLC

Fayetteville, AR

Registration:
Feb 2, 2012
Addresses:
1753 N College Ave STE 100, Fayetteville, AR 72703 (Physical)
2863 N Old Missouri Rd STE 107-C, Fayetteville, AR 72703 (Physical)
State ID:
811010580
Business type:
Limited Liability Company
Tax Preparers:
Larry D. Walker (Incorporator/Organizer),Nick D Elkins (Tax Preparer)
Agent:
Cpa Nick D. Elkins,2863 N Old Missouri Rd STE 107-C, Fayetteville, AR 72703 (Physical)
Filled under act:
Domestic LLC; 1003 of 1993

Managed Care Organizations licenses in Arkansas



Other Doctors licenses in Arkansas