Innisfree Nursing Ctr Inc

NPI 1255327508 - Assisted Living Facility - 310400000X

NPI Details
NPI 1255327508
Enumeration Date 09/22/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CHARLES JOHN CHARLES
Position OWNER
Phone (479) 636-5545
Fax (479) 636-9095
Practice Location
301 S 24TH ST
ROGERS AR, 72758-1116, US
Phone (479) 636-5545
Fax (479) 636-9095
Business Location
301 S 24TH ST
ROGERS AR, 72758-1116, US
Phone (479) 636-5545
Fax (479) 636-9095
Toxanomy
Taxonomy Code 310400000X
License State Arkansas
License Number 552
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According to our database, Innisfree Nursing Ctr Inc NPI is 1255327508, taxonomy code is 310400000X and license number is 552, license state is located at Arkansas. Innisfree Nursing Ctr Inc physically located at 301 S 24th St, Rogers AR, 72758-1116. NPI Number 1033115704 has the healthcare provider type.

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1255327508 NPI number is provided on an as is basis without warranty of any kind. 1255327508 is maintained by the National Plan & Provider Enumeration System. The contents of Innisfree Nursing Ctr Inc are for informational purposes only.