| NPI | 1215903869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY TIPPIN Administrator 479-489-5237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 129) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2020-08-22 |