| NPI | 1821028556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERSCHEL BURT GLENN Controller 501-329-9879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 788) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |