St. John's Place of Arkansas
NPI #1326113689 in Fordyce, Arkansas
Provider Information
- NPI Number
- 1326113689
- Entity Type
- Organization
- Organization Name
- St. John's Place of Arkansas
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Nov 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- ROSS PONTHIE
- Title
- MANAGING MEMBER
- Phone
- (318) 443-8167
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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