Southridge Village-Cabot Mgnt. Co.

NPI #1245526813 in Cabot, Arkansas

Provider Information

NPI Number
1245526813
Entity Type
Organization
Organization Name
Southridge Village-Cabot Mgnt. Co.
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 22, 2011
Last Updated
Jun 22, 2011

Practice Location

Address
601 E. MT. SPRINGS ROAD
City
Cabot
ZIP Code
72023
Phone
(501) 286-7720

Authorized Official

Name
GRETCHEN E HUMPHREYS
Title
OFFICE MANAGER
Phone
(501) 362-7023

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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