NPI | 1184703993 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN CLARK Administrator 870-933-4535 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 158) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2020-08-22 |