Beverly Enterprises - Arkansas, INC.
Skilled Nursing Facility in Magnolia, AR. Organization (NPI-2).
NPI number1124073408
StatusActive
Last updated in NPPESOct 29, 2007
Details
- NPI
- 1124073408
- Entity type
- Organization (NPI-2)
- Legal business name
- Beverly Enterprises - Arkansas, INC.
- Organization subpart
- Yes
- Enumeration date
- May 24, 2006
- Last updated
- Oct 29, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Beverly Livingcenter - Magnolia (Doing Business As)
Practice location
301 Boundary StMagnolia, AR 71753-3305
Phone 870-234-1361
Mailing address
301 Boundary StMagnolia, AR 71753-3305
Phone 870-234-1361
Authorized official
David G. Merrell
Vice President And Asst Secretary
4792014840
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All 9 Skilled Nursing Facility providers in Magnolia · All 463 providers in Magnolia
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