Organization
WALDRON NURSING CENTER,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED WATTS (ADMINISTRATOR)
(479) 637-3171
Entity
Organization
Contact information
Practice address
1369 W 6TH ST, WALDRON, AR 72958-7642
(479) 637-3171
Mailing address
1369 W 6TH ST, PO BOX 2230, WALDRON, AR 72958-7642
(479) 637-3171
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
646
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199657311
—
AR
Enumeration date
04/18/2006
Last updated
10/22/2012
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