NPI | 1801972922 |
---|---|
Doing Business As | STONE COUNTY RESIDENTIAL CARE FACILITY |
Entity Type | Organization |
Authorized Contact | DAVID D. JARVIS Associate Administrator Ltc Divis 870-670-5690 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: AR 359) |
Enumeration Date | 2006-10-31 |
Last Update Date | 2020-08-22 |