Organization
CLARKSVILLE COMMUNITY HEALTH & REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY V. KEMPER (PRESIDENT)
(317) 598-9586
Entity
Organization
Contact information
Practice address
400 OAK CT, CLARKSVILLE, AR 72830-3778
(317) 841-2377
Mailing address
9785 CROSSPOINT BLVD STE 104, INDIANAPOLIS, IN 46256-3321
(317) 598-9467
(317) 845-0616
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
945
AR
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186044311
—
AR
Enumeration date
08/17/2010
Last updated
04/20/2011
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