Waverley - Arkansas, Inc.

NPI #1174514616 in West Memphis, Arkansas

Provider Information

NPI Number
1174514616
Entity Type
Organization
Organization Name
Waverley - Arkansas, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
WAVERLEY-ARKANSAS, INC.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 3, 2005
Last Updated
Mar 11, 2008

Practice Location

Address
610 S AVALON ST
ZIP Code
72301-4109
Phone
(870) 735-4543

Authorized Official

Name
MR. CHAUNCEY R. DUNBAR, CPA
Title
SECRETARY / TREASURER
Phone
(601) 956-1576

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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