# ROSE & WELLS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Lodge Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699765958
- **Authorized official:** MS. REBECCA BRASHEAR R.N. (ADMINISTRATOR)
- **Authorized official phone:** (479) 968-5858

## Contact information

- **Practice address:** 900 W 12TH ST, RUSSELLVILLE, AR 72801-6606
- **Practice address phone:** (479) 968-5858
- **Practice address fax:** (479) 890-6013
- **Mailing address:** 900 W 12TH ST, RUSSELLVILLE, AR 72801-6606
- **Mailing address phone:** (479) 968-5858
- **Mailing address fax:** (479) 890-6013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 037 | AR | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 11/29/2007