| NPI | 1306996590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA K SPICER Administrator 870-598-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 704) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |