Essence Of Love | |
1120 John Harden Dr Ste D Jacksonville AR 72076-3175 | |
(501) 983-4786 | |
(501) 436-0910 |
Full Name | Essence Of Love |
---|---|
Speciality | Case Management |
Location | 1120 John Harden Dr Ste D, Jacksonville, Arkansas |
Authorized Official Name and Position | Karolyn Taylor (PRESIDENT) |
Authorized Official Contact | 5012479006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Essence Of Love Po Box 13803 Maumelle AR 72113-0803 Ph: (501) 247-9006 | Essence Of Love 1120 John Harden Dr Ste D Jacksonville AR 72076-3175 Ph: (501) 983-4786 |
NPI Number | 1225688153 |
---|---|
Provider Enumeration Date | 09/12/2019 |
Last Update Date | 07/07/2021 |
Certification Date | 07/07/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225688153 | NPI | - | NPPES |
240128757 | Medicaid | AR | |
240126755 | Medicaid | AR |
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