Healthcare Provider Details

I. General information

NPI: 1487480596
Provider Name (Legal Business Name): LOVE AND KINDNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3008 S UNIVERSITY AVE
LITTLE ROCK AR
72204-6008
US

IV. Provider business mailing address

3008 S UNIVERSITY AVE
LITTLE ROCK AR
72204-6008
US

V. Phone/Fax

Practice location:
  • Phone: 501-256-6203
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State

VIII. Authorized Official

Name: LONZELL KENDRICK BLACKMON
Title or Position: CEO
Credential:
Phone: 501-256-6203