Organization
LONOKE HEALTH AND REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S MORTON (MEMBER)
(479) 783-4672
Entity
Organization
Contact information
Practice address
1501 LINCOLN ST, LONOKE, AR 72086-9308
(501) 676-2600
Mailing address
415 ROGERS AVE, FORT SMITH, AR 72901-1903
(479) 783-4672
(479) 783-2217
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205784311
—
AR
Enumeration date
10/09/2014
Last updated
07/21/2022
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