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Organization
LEGACY BLOOMS SENIOR SOLUTIONS LLC
Active
Organization
LEGACY BLOOMS SENIOR SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESIREE D GRAVES (EXECUTIVE DIRECTOR)
(870) 253-3219
Entity
Organization
Contact information
Practice address
6900 W MARKHAM ST, LITTLE ROCK, AR 72205-2775
(870) 253-3219
Mailing address
6900 W MARKHAM ST, LITTLE ROCK, AR 72205-2775
(870) 253-3219
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
332U00000X
Home Delivered Meals
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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