South Dixieland Road Operating LLC

NPI #1144805003 in Rogers, Arkansas

Provider Information

NPI Number
1144805003
Entity Type
Organization
Organization Name
South Dixieland Road Operating LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Mar 12, 2021
Last Updated
Aug 12, 2021

Practice Location

Address
1513 S DIXIELAND RD
City
Rogers
ZIP Code
72758-4935
Phone
(479) 636-5841

Authorized Official

Name
YISROEL GANZ
Title
INCORPORATOR
Phone
(732) 523-2395

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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