Organization
BEYOND BOUNDARIES SUPPORTIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES THOMAS (ORGANIZER)
(501) 838-7275
Entity
Organization
Contact information
Practice address
13006 LEMONCREST LN, LITTLE ROCK, AR 72210-6912
(501) 838-7275
Mailing address
13006 LEMONCREST LN, LITTLE ROCK, AR 72210-6912
(501) 838-7275
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/08/2021
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