Healthcare Provider Details

I. General information

NPI: 1245962042
Provider Name (Legal Business Name): LONOKECO OPS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2022
Last Update Date: 06/29/2022
Certification Date: 06/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E PARK ST
CARLISLE AR
72024-9469
US

IV. Provider business mailing address

824 SALEM RD STE 210
CONWAY AR
72034-4855
US

V. Phone/Fax

Practice location:
  • Phone: 870-552-7150
  • Fax: 870-552-7601
Mailing address:
  • Phone: 501-730-6798
  • Fax: 501-932-3169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY BRANDON ADAMS
Title or Position: PRESIDENT
Credential:
Phone: 501-932-0050