| NPI | 1093755506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CHESLEY COX Administrator 501-842-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AR 04e044) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2020-08-22 |