Provider Demographics
NPI:1043947070
Name:L & L CONNECT
Entity Type:Organization
Organization Name:L & L CONNECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARA
Authorized Official - Middle Name:LITTLEJOHN
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:919-741-8556
Mailing Address - Street 1:2709 COMMONWEALTH AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-5367
Mailing Address - Country:US
Mailing Address - Phone:919-741-8556
Mailing Address - Fax:
Practice Address - Street 1:2709 COMMONWEALTH AVE APT 8
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-5367
Practice Address - Country:US
Practice Address - Phone:919-741-8556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty