Organization
GRACEFUL GUARDIANS & CAREGIVERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA YAKESHA SINGLETON RN (ADMINISTRATOR)
(870) 310-9137
Entity
Organization
Contact information
Practice address
708 E 4TH ST, EL DORADO, AR 71730-4714
(870) 310-9137
Mailing address
708 E 4TH ST, EL DORADO, AR 71730-4714
(870) 310-9137
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
—
—
163WC0400X
Case Management Registered Nurse
—
—
163WC1500X
Community Health Registered Nurse
—
—
163WC2100X
Continence Care Registered Nurse
—
—
163WP2201X
Ambulatory Care Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
09/16/2024
Last updated
09/19/2024
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