Organization
LASTING MEMORIES ADULTS CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATINA LEVINGSTON (MANAGER)
(903) 293-7093
Entity
Organization
Contact information
Practice address
806 CUPP DR, ARKADELPHIA, AR 71923-3905
(903) 559-7171
Mailing address
1404 ROBINHOOD ST, HOPE, AR 71801-7513
(903) 293-7093
(844) 878-9982
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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