Organization
CNNC, INC
Active
Parent organization
EAGLE HEALTH SYSTEMS INC
Other names
CORNING THERAPY AND LIVING CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE HEALTH SYSTEMS INC
Authorized official
ANTHONY BRANDON ADAMS (PRESIDENT)
(501) 932-0050
Entity
Organization
Contact information
Practice address
831 N MISSOURI AVE, CORNING, AR 72422-7187
(870) 857-3100
(870) 857-6396
Mailing address
831 N MISSOURI AVE, CORNING, AR 72422-7187
(870) 857-3100
(870) 857-6396
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1025
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199879311
—
AR
Enumeration date
10/11/2013
Last updated
01/20/2014
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