Organization
THE GREEN HOUSE COTTAGES OF NORTHWEST ARKANSAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PONTHIE (MEMBER)
(318) 443-8167
Entity
Organization
Contact information
Practice address
1303 NE LEGACY PKWY, BENTONVILLE, AR 72712-4940
(479) 271-2387
Mailing address
PO BOX 12187, ALEXANDRIA, LA 71315-2187
(318) 443-8167
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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