# OSCEOLA THERAPY AND LIVING CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023325008
- **Authorized official:** BOBBY HARGIS (PRESIDENT)
- **Authorized official phone:** (870) 368-4050

## Contact information

- **Practice address:** 287 S COUNTRY CLUB RD, OSCEOLA, AR 72370-6047
- **Practice address phone:** (870) 563-3201
- **Practice address fax:** (870) 563-3797
- **Mailing address:** PO BOX 506, MELBOURNE, AR 72556-0506
- **Mailing address phone:** (870) 368-4050
- **Mailing address fax:** (870) 368-4054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 928 | AR | Yes |

## Other

- **Enumeration date:** 09/11/2010
- **Last updated:** 09/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 182993311 | — | AR |