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Organization
WOODRUFF COUNTY HEALTH CENTER
Active
Organization
WOODRUFF COUNTY HEALTH CENTER
Active
Other names
John Davis Woodruff Center Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWEN S BROGDON (ADMINISTRATOR)
(870) 731-2543
Entity
Organization
Contact information
Practice address
HWY 64 W, # 139, MC CRORY, AR 72101-8223
(870) 731-2543
(870) 731-5027
Mailing address
HWY 64 W, # 139, MC CRORY, AR 72101-8223
(870) 731-2543
(870) 731-5027
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
220
AR
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
057
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95847673
DEFENSE LOGISTICS AGENCY
—
01
—
G24681012
DEPT OF VETERAN AFFAIRS
AR
Enumeration date
08/10/2005
Last updated
07/23/2007
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