| NPI | 1457742058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA A LEE CEO 870-356-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AR 964) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |