Organization
MINE CREEK HOLDINGS LLC
Active
Other names
MINE CREEK HEALTH AND REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SCHWARTZ (MANAGER)
(201) 635-1195
Entity
Organization
Contact information
Practice address
1407 N MAIN ST, NASHVILLE, AR 71852-3733
(870) 455-1008
(870) 845-5280
Mailing address
1407 N MAIN ST, NASHVILLE, AR 71852-3733
(870) 455-1008
(870) 845-5280
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1098
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211197311
—
AR
Enumeration date
11/23/2015
Last updated
02/05/2016
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