Organization
JUST SPREADING LOVE SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA R. JOHNSON (OWNER-AUTHORIZED OFFICIAL)
(479) 518-2383
Entity
Organization
Contact information
Practice address
1411 N. PITTSBURG AVENUE, RUSSELLVILLE, AR 72801
(479) 518-2383
Mailing address
P.O. BOX 11292 RUSSELLVILLE, RUSSELLVILLE, AR 72812
(479) 518-2383
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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