Healthcare Provider Details

I. General information

NPI: 1922710920
Provider Name (Legal Business Name): PLUM, PEACE LOVE UNDERSTANDING MERCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2022
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 THOMPSON AVE
WEST MEMPHIS AR
72301-3257
US

IV. Provider business mailing address

PO BOX 5147
WEST MEMPHIS AR
72303-5147
US

V. Phone/Fax

Practice location:
  • Phone: 870-600-4414
  • Fax:
Mailing address:
  • Phone: 870-600-4414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
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

VIII. Authorized Official

Name: DR. HOWARD C. SMITH II
Title or Position: PRESIDENT/CEO
Credential: PH.D., ED.S.,
Phone: 870-600-4414