Sequoyah Residential Facility, Inc.
NPI #1124109749 in Prairie Grove, Arkansas
Provider Information
- NPI Number
- 1124109749
- Entity Type
- Organization
- Organization Name
- Sequoyah Residential Facility, Inc.
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 621 S MOCK ST
- City
- Prairie Grove
- State
- Arkansas
- ZIP Code
- 72753-3146
- Phone
- (479) 846-2169
Authorized Official
- Name
- EDDIE MARTIN
- Title
- OWNER
- Phone
- (479) 846-2169
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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