| NPI | 1588947923 |
|---|---|
| Doing Business As | BENTONVILLE MANOR NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | BOYD GENTRY President & CEO 937-964-8974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-10-19 |