| NPI | 1982020541 |
|---|---|
| Doing Business As | SOUTHRIDGE VILLAGE NURSING AND REHAB |
| Entity Type | Organization |
| Authorized Contact | BRANDON ADAMS President 501-932-0050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 1042) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-11-12 |