| NPI | 1972593911 |
|---|---|
| Other Name | PINK BUD HOME FOR THE GOLDEN YEARS |
| Entity Type | Organization |
| Authorized Contact | ROGER MARVIN CORBIN Administrator 479-996-4125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2022-07-21 |