| NPI | 1477624906 |
|---|---|
| Other Name | SOUTHRIDGE VILLAGE RETIREMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BLANKENSHIP Owner 501-362-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AR 401) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |