Provider Demographics
NPI:1447135843
Name:WELLQUEST RIVER VALLEY LLC
Entity type:Organization
Organization Name:WELLQUEST RIVER VALLEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:REAPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-358-4758
Mailing Address - Street 1:500 PRESIDENT CLINTON AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201-1754
Mailing Address - Country:US
Mailing Address - Phone:501-358-4758
Mailing Address - Fax:
Practice Address - Street 1:330 13TH ST
Practice Address - Street 2:
Practice Address - City:BARLING
Practice Address - State:AR
Practice Address - Zip Code:72923
Practice Address - Country:US
Practice Address - Phone:501-358-4758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization