Ltc of Berryville, LLC
NPI #1811470784 in Berryville, Arkansas
Provider Information
- NPI Number
- 1811470784
- Entity Type
- Organization
- Organization Name
- Ltc of Berryville, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 7, 2018
- Last Updated
- Sep 7, 2018
Practice Location
- Address
- 500 HAMMOND AVENUE
- City
- Berryville
- State
- Arkansas
- ZIP Code
- 72616
- Phone
- (870) 423-6966
Authorized Official
- Name
- MATHIAS DASAL
- Title
- MANAGER
- Phone
- (573) 746-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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