| NPI | 1821037771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTA MAUPIN Assistant Administrator 870-283-5313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 425) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-05-05 |