EXTENDED LIFE PERSONAL CARE STAFFING AGENCYLLC NPI 1962962761

NPI Information

EXTENDED LIFE PERSONAL CARE STAFFING AGENCY,LLC is a home health aide in West Memphis, AR. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. EXTENDED LIFE PERSONAL CARE STAFFING AGENCY,LLC NPI is 1962962761. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 MID CONTINENT PLZ STE 460
WEST MEMPHIS, AR
ZIP 72301-700
Phone: (501) 316-7839

The provider's authorized official is Colesha Cannady .
The authorized official title is Owner and has the following contact phone number (501) 316-7839.

The enumeration date for this NPI number is 3/20/2019 and was last updated on 3/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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