Kmj Enterprises Heritage Park LLC

NPI #1306832167 in Rogers, Arkansas

Provider Information

NPI Number
1306832167
Entity Type
Organization
Organization Name
Kmj Enterprises Heritage Park LLC
Subpart
Yes (part of a larger organization)
Parent Organization
KMJ MANAGEMENT
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 26, 2005
Last Updated
Jun 10, 2008

Practice Location

Address
1513 S DIXIELAND RD
City
Rogers
ZIP Code
72758-4935
Phone
(479) 636-5841

Authorized Official

Name
MS. PATRICIA A MILLER
Title
PRESIDENT CEO
Phone
(479) 636-5716

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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