# GREENHURST, INC.

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

## Provider details

- **NPI number:** 1760520936
- **Authorized official:** MR. FRED H. SCHAFFER RN (PRESIDENT)
- **Authorized official phone:** (479) 965-2233

## Contact information

- **Practice address:** 226 SKYLER DR, POB 458, CHARLESTON, AR 72933-9337
- **Practice address phone:** (479) 965-7373
- **Practice address fax:** (479) 965-7372
- **Mailing address:** 226 SKYLER DR, POB 458, CHARLESTON, AR 72933-9337
- **Mailing address phone:** (479) 965-7373
- **Mailing address fax:** (479) 965-7372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 109059311 | AR | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 09/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 109059311 | — | AR |