NPI | 1457386674 |
---|---|
Doing Business As | WHITE RIVER MEDICAL CENTER RECUPERATION CENTER |
Entity Type | Organization |
Authorized Contact | SHAWNA BAXTER Provider Enrollment 870-262-5545 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 801) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2024-05-16 |