Main Street Operating LLC

NPI #1134820541 in Van Buren, Arkansas

Provider Information

NPI Number
1134820541
Entity Type
Organization
Organization Name
Main Street Operating LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Mar 13, 2023
Last Updated
Nov 16, 2023

Practice Location

Address
2010 MAIN ST
ZIP Code
72956-4957
Phone
(479) 474-6885

Authorized Official

Name
ISRAEL GANZ
Title
DIRECTOR
Phone
(732) 366-5705

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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