Ggnsc El Dorado Iii Llc

NPI 1457303687 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1457303687
Enumeration Date 05/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HOLLY A. HOLLY
Position SECRETARY
Phone (870) 863-5034
Fax (870) 863-5092
Practice Location
2415 W HILLSBORO ST
EL DORADO AR, 71730-6815, US
Phone (870) 863-5034
Fax (870) 863-5092
Business Location
2415 W HILLSBORO ST
EL DORADO AR, 71730-6815, US
Phone (870) 863-5034
Fax (870) 863-5092
Toxanomy
Taxonomy Code 314000000X
License State Arkansas
License Number 816
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According to our database, Ggnsc El Dorado Iii Llc NPI is 1457303687, taxonomy code is 314000000X and license number is 816, license state is located at Arkansas. Ggnsc El Dorado Iii Llc physically located at 2415 W Hillsboro St, El Dorado AR, 71730-6815. NPI Number 1033115704 has the healthcare provider type.

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1457303687 NPI number is provided on an as is basis without warranty of any kind. 1457303687 is maintained by the National Plan & Provider Enumeration System. The contents of Ggnsc El Dorado Iii Llc are for informational purposes only.