Organization
MITCHELL'S NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EDWARD MITCHELL (ADMINISTRATOR)
(479) 495-2914
Entity
Organization
Contact information
Practice address
501 WEST 10TH STREET, DANVILLE, AR 72833
(479) 495-2914
(479) 495-2914
Mailing address
PO BOX 10, DANVILLE, AR 72833-0010
(479) 495-2914
(479) 495-3685
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
073
AR
314000000X
Skilled Nursing Facility
Primary
045454
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109435311
—
AR
Enumeration date
08/15/2006
Last updated
01/16/2015
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