# HENNESSEY NURSING & REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hennessey Nursing & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821508391
- **Authorized official:** BRADFORD MONTGOMERY (MANAGING MEMBER)
- **Authorized official phone:** (479) 715-6759

## Contact information

- **Practice address:** 705 E 3RD ST, HENNESSEY, OK 73742-1620
- **Practice address phone:** (405) 853-4390
- **Practice address fax:** (405) 853-4389
- **Mailing address:** 9 PROFESSIONAL DR, BELLA VISTA, AR 72715-8462
- **Mailing address phone:** (479) 715-6957
- **Mailing address fax:** (479) 715-6922

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2017
- **Last updated:** 04/28/2023