NPI | 1407049562 |
---|---|
Entity Type | Organization |
Authorized Contact | WANDA L. ARCHER Administrator 870-356-4426 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AR 376) |
Enumeration Date | 2007-08-22 |
Last Update Date | 2007-08-22 |