St John's Place of Arkansas, LLC

NPI #1154541878 in Fordyce, Arkansas

Provider Information

NPI Number
1154541878
Entity Type
Organization
Organization Name
St John's Place of Arkansas, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Apr 26, 2007
Last Updated
Feb 20, 2023

Practice Location

Address
1400 HIGHWAY 79 167 BYP
ZIP Code
71742-1728
Phone
(870) 352-2104

Authorized Official

Name
JOHN PONTHIE
Title
MEMBER
Phone
(318) 216-3316

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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