Organization
ARHC FRBRYAR01 TRS LLC
Active
Other names
Fox Ridge Bryant
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE GALLOWAY (AUTHORIZED OFFICIAL)
(212) 415-6500
Entity
Organization
Contact information
Practice address
4216 FOX RIDGE DR, BRYANT, AR 72022-8308
(501) 547-3400
Mailing address
PO BOX 13267, MAUMELLE, AR 72113-0267
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213923794
—
AR
Enumeration date
07/19/2016
Last updated
07/19/2016
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