Northport Health Services Of Arkansas, LLC
Skilled Nursing Facility in Springdale, AR. Organization (NPI-2).
NPI number1013962018
StatusActive
Last updated in NPPESOct 26, 2020
Details
- NPI
- 1013962018
- Entity type
- Organization (NPI-2)
- Legal business name
- Northport Health Services Of Arkansas, LLC
- Organization subpart
- No
- Enumeration date
- May 24, 2006
- Certification date
- Oct 26, 2020
- Last updated
- Oct 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 594 | AR | Yes |
Other names
- Springdale Health & Rehabilitation Center (Doing Business As)
Practice location
102 N Gutensohn RdSpringdale, AR 72762-3801
Phone 479-756-0330
Mailing address
102 N Gutensohn RdSpringdale, AR 72762-3801
Phone 479-756-0330
Authorized official
Phillip Cody Long
Cfo
2053913600
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