Organization
SOUTHERN LEGACY OF LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA RENEE FLOWERS (CHIEF FINANCE OPERATING OFFICER)
(501) 907-9124
Entity
Organization
Contact information
Practice address
1300 WILSON RD, LITTLE ROCK, AR 72205-6634
(501) 907-9150
(501) 694-3112
Mailing address
1300 WILSON RD, LITTLE ROCK, AR 72205-6634
(501) 907-9150
(501) 694-3112
Taxonomy
Speciality
Code
Description
License number
State
335U00000X
Organ Procurement Organization
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
08/04/2025
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