| NPI | 1912084450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY ELSEY Administrator 479-738-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 098) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |