| Bountiful Living And Assistance Llc | |
|
5713 Drexel Ave Little Rock AR 72209-8413 | |
| (501) 396-9916 | |
| Not Available |
| Full Name | Bountiful Living And Assistance Llc |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 5713 Drexel Ave, Little Rock, Arkansas |
| Authorized Official Name and Position | Shanika Nickelberry (OWNER) |
| Authorized Official Contact | 5013538336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bountiful Living And Assistance Llc 6834 Cantrell Rd Ste 1648 Little Rock AR 72207-4135 Ph: (501) 353-8336 | Bountiful Living And Assistance Llc 5713 Drexel Ave Little Rock AR 72209-8413 Ph: (501) 396-9916 |
| NPI Number | 1891641338 |
|---|---|
| Provider Enumeration Date | 03/06/2026 |
| Last Update Date | 03/06/2026 |
| Certification Date | 03/06/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891641338 | NPI | - | NPPES |
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