South Bridge, LLC
NPI #1568640589 in Morrilton, Arkansas
Provider Information
- NPI Number
- 1568640589
- Entity Type
- Organization
- Organization Name
- South Bridge, LLC
- Primary Specialty
- Intermediate Care Facility, Mental Illness
- Enumeration Date
- Jan 31, 2008
- Last Updated
- Jan 31, 2008
Practice Location
Authorized Official
- Name
- MR. EDWARD V HOLMAN
- Title
- OWNER
- Phone
- (501) 224-4173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Mental Illness |
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