Organization
GNNC, INC
Active
Parent organization
EAGLE HEALTH SYSTEMS INC
Other names
GOSNELL THERAPY AND LIVING
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE HEALTH SYSTEMS INC
Authorized official
ANTHONY BRANDON ADAMS (PRESIDENT)
(501) 932-0050
Entity
Organization
Contact information
Practice address
700 MOODY ST, GOSNELL, AR 72315-6110
(870) 532-5550
(870) 532-5600
Mailing address
700 MOODY ST, GOSNELL, AR 72315-6110
(870) 532-5550
(870) 532-5600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1023
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199882311
—
AR
Enumeration date
10/11/2013
Last updated
01/20/2014
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