| NPI | 1891902722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SHORT Owner 479-452-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: AR 243) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |