Provider Demographics
NPI:1619657988
Name:BL PHYSICIAN HOME CARE SOLUTIONS PLLC
Entity Type:Organization
Organization Name:BL PHYSICIAN HOME CARE SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:PERRYMAN
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:312-208-9377
Mailing Address - Street 1:PO BOX 2281
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72018-2281
Mailing Address - Country:US
Mailing Address - Phone:877-429-3199
Mailing Address - Fax:501-305-2817
Practice Address - Street 1:117 S MARKET ST STE 217
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-4302
Practice Address - Country:US
Practice Address - Phone:312-208-9377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty