Ksjr Healthcare, Llc

NPI 1023186723 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1023186723
Enumeration Date 12/01/2006
Last Updated 04/22/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JIMMY JIMMY
Position OWNER
Phone (501) 374-7565
Fax (501) 372-8026
Practice Location
1516 CUMBERLAND ST
LITTLE ROCK AR, 72202-5065, US
Phone (501) 374-7565
Fax (501) 372-8026
Business Location
1516 CUMBERLAND ST
LITTLE ROCK AR, 72202-5065, US
Phone (501) 374-7565
Fax (501) 372-8026
Toxanomy
Taxonomy Code 314000000X
License State Arkansas
License Number 726
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According to our database, Ksjr Healthcare, Llc NPI is 1023186723, taxonomy code is 314000000X and license number is 726, license state is located at Arkansas. Ksjr Healthcare, Llc physically located at 1516 Cumberland St, Little Rock AR, 72202-5065. NPI Number 1033115704 has the healthcare provider type.

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1023186723 NPI number is provided on an as is basis without warranty of any kind. 1023186723 is maintained by the National Plan & Provider Enumeration System. The contents of Ksjr Healthcare, Llc are for informational purposes only.