Healthcare Provider Details

I. General information

NPI: 1679289110
Provider Name (Legal Business Name): ENDLESS MILEAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 BILL FOSTER MEMORIAL HWY
CABOT AR
72023-7200
US

IV. Provider business mailing address

6834 CANTRELL RD STE 1730
LITTLE ROCK AR
72207-4135
US

V. Phone/Fax

Practice location:
  • Phone: 501-474-6199
  • Fax:
Mailing address:
  • Phone: 501-474-6199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: JINNA ELLINGTON
Title or Position: OWNER
Credential:
Phone: 501-474-6199