| NPI | 1366590572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN JEAN HARRIS Administrator 870-732-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AR 345) |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2020-08-22 |