| NPI | 1376562660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMELDIA SUE RUSHER Administrator 479-452-1541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 045) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |