Innisfree Nursing Ctr INC

NPI #1255327508 in Rogers, Arkansas

Provider Information

NPI Number: 1255327508
Entity Type: Organization
Organization Name: Innisfree Nursing Ctr INC
Primary Specialty: Assisted Living Facility
Enumeration Date: Sep 22, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 301 S 24TH ST
City: Rogers
State: Arkansas
ZIP Code: 72758-1116
Phone: (479) 636-5545

Authorized Official

Name: MR. CHARLES JOHN RUSGIS JR.
Title: OWNER
Phone: (479) 636-5545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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