Southern Pines Health Opco LLC

NPI #1215676903 in Prescott, Arkansas

Provider Information

NPI Number
1215676903
Entity Type
Organization
Organization Name
Southern Pines Health Opco LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 1, 2022
Last Updated
Aug 9, 2023

Practice Location

Address
700 MANOR RD
ZIP Code
71857-2800
Phone
(870) 455-1086

Authorized Official

Name
ETHAN DREIFUS
Title
AUTHORIZED SIGNATORY
Phone
(501) 961-8100

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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