Malvern Operations, LLC

NPI #1083047922 in Malvern, Arkansas

Provider Information

NPI Number
1083047922
Entity Type
Organization
Organization Name
Malvern Operations, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 14, 2013
Last Updated
Apr 15, 2015

Practice Location

Address
105 RUSSELLVILLE RD
ZIP Code
72104-6700
Phone
(501) 332-5251

Authorized Official

Name
MR. ROSS PONTHIE
Title
MANAGING MEMBER
Phone
(318) 443-8167

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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