Acc 1, LLC
NPI #1821085499 in Pine Bluff, Arkansas
Provider Information
- NPI Number
- 1821085499
- Entity Type
- Organization
- Organization Name
- Acc 1, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 29, 2005
- Last Updated
- Mar 30, 2012
Practice Location
- Address
- 6301 S HAZEL ST
- City
- Pine Bluff
- State
- Arkansas
- ZIP Code
- 71603-7818
- Phone
- (870) 534-8153
Authorized Official
- Name
- MR. KYLE MARK DESHOTELS
- Title
- MANAGING/MEMBER
- Phone
- (870) 733-1255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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