Organization
KSJR HEALTHCARE, LLC
Active
Other names
Quapaw Quarter Nursing Center & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY TAYLOR (OWNER)
(501) 374-7565
Entity
Organization
Contact information
Practice address
1516 CUMBERLAND ST, LITTLE ROCK, AR 72202-5065
(501) 374-7565
(501) 372-8026
Mailing address
1516 CUMBERLAND ST, LITTLE ROCK, AR 72202-5065
(501) 374-7565
(501) 372-8026
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
726
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119734311
—
AR
Enumeration date
12/01/2006
Last updated
04/22/2008
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