Healthcare Provider Details

I. General information

NPI: 1881448793
Provider Name (Legal Business Name): SHARINGLYFE CARE OF ARKANSAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2024
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 E KIEHL AVE
SHERWOOD AR
72120-2963
US

IV. Provider business mailing address

208 E KIEHL AVE
SHERWOOD AR
72120-2963
US

V. Phone/Fax

Practice location:
  • Phone: 662-313-3364
  • Fax:
Mailing address:
  • Phone: 662-313-3364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: LATORIA R BATTLES
Title or Position: OWNER
Credential:
Phone: 662-313-3364