| NPI | 1598823320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY CLAY Administrator 870-734-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AR 035) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-02-10 |