Healthcare Provider Details

I. General information

NPI: 1558820548
Provider Name (Legal Business Name): HENRIETTA'S LOVING HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2019
Last Update Date: 03/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 HENDERSON ST
HOT SPRINGS AR
71913-5222
US

IV. Provider business mailing address

PO BOX 21876
HOT SPRINGS AR
71903-1876
US

V. Phone/Fax

Practice location:
  • Phone: 501-762-3368
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TRUDY MOORE-WARNER
Title or Position: OWNER
Credential:
Phone: 501-762-3368