# STONERIDGE HEALTH AND REHAB CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** StoneRidge Health & Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851440309
- **Authorized official:** MR. KURT L LUTH (REGISTERED AGENT)
- **Authorized official phone:** (501) 833-5627

## Contact information

- **Practice address:** 4017 FRANKLIN, COLLEGE STATION, AR 72053
- **Practice address phone:** (501) 490-1533
- **Practice address fax:** (501) 490-0608
- **Mailing address:** 1051 LANTRIP RD, SHERWOOD, AR 72120-4161
- **Mailing address phone:** (501) 833-5627
- **Mailing address fax:** (501) 835-6905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 0798 | AR | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 12/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 162852311 | — | AR |