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Organization
BLACKMON CARE HOME CARE
Active
Organization
BLACKMON CARE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONZELL BLACKMON OWNER (OWNER)
(501) 256-6203
Entity
Organization
Contact information
Practice address
10 ROXBURY DR, LITTLE ROCK, AR 72209-2133
(501) 256-6203
Mailing address
PO BOX 1383, LITTLE ROCK, AR 72203-1383
(501) 256-6293
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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