Provider Demographics
NPI:1275041808
Name:HAMMONDS HARMONY CARE
Entity Type:Organization
Organization Name:HAMMONDS HARMONY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHUNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:501-952-6868
Mailing Address - Street 1:29 CLERVAUX DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-5510
Mailing Address - Country:US
Mailing Address - Phone:501-952-6868
Mailing Address - Fax:
Practice Address - Street 1:25 RAHLING CIR STE C1
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-6000
Practice Address - Country:US
Practice Address - Phone:501-952-6868
Practice Address - Fax:501-868-7365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty