Stella Manor Care Center Inc

NPI 1144294489 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1144294489
Enumeration Date 02/14/2006
Last Updated 10/16/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL S. MICHAEL
Position PRESIDENT
Phone (479) 968-4141
Fax
Practice Location
400 N VANCOUVER AVE
RUSSELLVILLE AR, 72801-2750, US
Phone (479) 968-4141
Fax
Business Location
415 ROGERS AVE
FORT SMITH AR, 72901-1903, US
Phone (479) 783-4672
Fax (479) 783-2217
Toxanomy
Taxonomy Code 314000000X
License State Arkansas
License Number 792
Remove 1144294489 NPI Number
 

According to our database, Stella Manor Care Center Inc NPI is 1144294489, taxonomy code is 314000000X and license number is 792, license state is located at Arkansas. Stella Manor Care Center Inc physically located at 400 N Vancouver Ave, Russellville AR, 72801-2750. NPI Number 1033115704 has the healthcare provider type.

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1144294489 NPI number is provided on an as is basis without warranty of any kind. 1144294489 is maintained by the National Plan & Provider Enumeration System. The contents of Stella Manor Care Center Inc are for informational purposes only.