Healthcare Provider Details

I. General information

NPI: 1871005397
Provider Name (Legal Business Name): HAMMONDS HARMONY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1209 ADAMS ST
LITTLE ROCK AR
72204-2953
US

IV. Provider business mailing address

29 CLERVAUX DR
LITTLE ROCK AR
72223-5510
US

V. Phone/Fax

Practice location:
  • Phone: 501-952-6868
  • Fax:
Mailing address:
  • Phone: 501-952-6868
  • Fax: 501-868-7365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHUNA THOMAS
Title or Position: OWNER
Credential: APRN
Phone: 501-952-6868