Organization
A & C FAIRWAYS AND GREENNS INC.
Active
Other names
Homestead Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MICHAEL CARLTON RN (ADMINISTRATOR/OWNER)
(870) 597-4201
Entity
Organization
Contact information
Practice address
106 NO. THIRD ST., MARMADUKE, AR 72443
(870) 597-4201
(870) 597-4201
Mailing address
106 NO. THIRD ST., MARMADUKE, AR 72443
(870) 597-4201
(870) 597-4201
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
390
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140659732
—
AR
Enumeration date
04/23/2008
Last updated
04/23/2008
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