| NPI | 1174553796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY WELLS President 501-202-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access (Licence: AR AR4227) |
| Additional Taxonomies | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2024-09-09 |