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General NPI Number Information
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NPI Number | 1619468881
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Entity Type | Organization
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Legal Business Name | LOVING ARMS STAFFING AGENCY, LLC #1
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 310 MID-CONTINENT PLAZA SUITE 350
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City | WEST MEMPHIS
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State | AR
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Zip | 72301
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Country | US
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Telephone | 870-732-7981
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Fax | 870-732-7984
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Provider Business Mailing Address
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Address Line | 310 MID-CONTINENT PLAZA SUITE 350
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City | WEST MEMPHIS
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State | AR
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Zip | 72301
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Country | US
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Telephone | 870-732-7981
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Fax | 870-732-7984
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DOROTHY BROADWAY
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Credential |
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Telephone | 901-650-3195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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