Prairie Snf Operations LLC

NPI #1164806824 in Des Arc, Arkansas

Provider Information

NPI Number
1164806824
Entity Type
Organization
Organization Name
Prairie Snf Operations LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 13, 2015
Last Updated
Nov 19, 2019

Practice Location

Address
2216 MAIN ST
ZIP Code
72040-3100
Phone
(870) 256-4194

Authorized Official

Name
ROSS PONTHIE
Title
MEMBER
Phone
(318) 443-8167

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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