| NPI | 1538157466 |
|---|---|
| Doing Business As | HIRAM SHADDOX GERIATRIC CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHNIECE TAYLOR Sec 870-368-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 765) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-08-22 |