| NPI | 1699764951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM JEANES Administrator 870-845-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 207qg0300x) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2008-02-29 |