NPI | 1790101368 |
---|---|
Doing Business As | HIRAM SHADDOX GERIATRIC HEALTH AND REHAB |
Entity Type | Organization |
Authorized Contact | BRANDON ADAMS President 501-932-0050 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 1043) |
Enumeration Date | 2014-03-06 |
Last Update Date | 2014-11-10 |