Organization
PRESCOTT SNF OPERATIONS, LLC
Active
Other names
Southern Pines Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
JOEY WIGGINS (PRESIDENT)
(501) 412-5961
Entity
Organization
Contact information
Practice address
700 MANOR RD, PRESCOTT, AR 71857-2800
(870) 455-1086
(870) 887-6690
Mailing address
PO BOX 8248, SEARCY, AR 72145-8248
(501) 254-0007
(888) 866-9887
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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