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Organization
SHORT MOUNTAIN LODGE RESIDENTIAL CARE
Active
Organization
SHORT MOUNTAIN LODGE RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA SHORT (OWNER)
(479) 452-4949
Entity
Organization
Contact information
Practice address
2721 W WALNUT ST, PARIS, AR 72855-3642
(479) 963-2255
Mailing address
2721 W WALNUT ST, PARIS, AR 72855-3642
(479) 963-2255
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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