| NPI | 1245568260 |
|---|---|
| Doing Business As | SOUTHRIDGE VILLAGE OF CONWAY |
| Entity Type | Organization |
| Authorized Contact | ASHLEY M BLANKENSHIP Administrator 501-327-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AR 044) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |