Hazel Street Nursing Association
NPI #1104814383 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1104814383
- Entity Type
- Organization
- Organization Name
- Hazel Street Nursing Association
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 11, 2005
- Last Updated
- Jul 12, 2013
Practice Location
- Address
- 6811 S HAZEL ST
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-7829
- Phone
- (870) 535-1155
Authorized Official
- Name
- MICHAEL T SHEPARD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (870) 541-0342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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