| NPI | 1679574727 |
|---|---|
| Other Name | JOHN DAVIS WOODRUFF CENTER RESIDENTIAL CARE |
| Entity Type | Organization |
| Authorized Contact | GWEN S BROGDON Administrator 870-731-2543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AR 057) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AR 220) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2007-07-23 |