Healthcare Provider Details

I. General information

NPI: 1972412369
Provider Name (Legal Business Name): LL NURSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2022 10TH AVE
COLUMBUS GA
31901-3724
US

IV. Provider business mailing address

309 OUSLEY WAY
PERRY GA
31069-9812
US

V. Phone/Fax

Practice location:
  • Phone: 229-942-4355
  • Fax:
Mailing address:
  • Phone: 229-942-4355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LASWANDA KISO HIGHTOWER
Title or Position: OWNER
Credential: CEO
Phone: 229-942-4355