MEDICARE: SUBTLE WHISPER ELITE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962165753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUBTLE WHISPER ELITE CARE LLC

Provider Business Mailing Address
First Line	:	222 ALFA RD
Second Line	:
City	:	N LITTLE ROCK
State	:	AR
Zip	:	72117-2138
Country	:	US
Telephone Number	:	501-359-6700
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 ALFA RD
Second Line	:
City	:	N LITTLE ROCK
State	:	AR
Zip	:	72117-2138
Country	:	US
Telephone Number	:	501-359-6700
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LAMONT LEWIS
Credential	:
Telephone Number	:	501-359-6700

Provider Enumeration Date	:	10/19/2021
Last Update Date	:	10/19/2021

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Directions to “SUBTLE WHISPER ELITE CARE LLC ” Practice Location

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