| NPI | 1619964160 |
|---|---|
| Doing Business As | BENTONVILLE MANOR NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | PATRICIA MILLER President/CEO 479-636-5716 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 712) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2008-06-10 |