Healthcare Provider Details

I. General information

NPI: 1265004519
Provider Name (Legal Business Name): NU LEIF LOGISTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2021
Last Update Date: 05/17/2022
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 WESTPARK DR STE 4&5
LITTLE ROCK AR
72204-2413
US

IV. Provider business mailing address

1300 WESTPARK DR STE 4&5
LITTLE ROCK AR
72204-2413
US

V. Phone/Fax

Practice location:
  • Phone: 501-366-2657
  • Fax:
Mailing address:
  • Phone: 501-904-1816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHONI ADAMS
Title or Position: CO-OWNER
Credential: RN
Phone: 501-891-2566