Organization
KMJ ENTERPRISES BENTON II, LLC
Active
Other names
Stagecoach Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DON SCHAAP (CEO)
(479) 636-5716
Entity
Organization
Contact information
Practice address
6907 HIGHWAY 5 N, BRYANT, AR 72022-7902
(501) 213-0547
(501) 213-0553
Mailing address
6907 HIGHWAY 5 N, BRYANT, AR 72022-7902
(501) 213-0547
(501) 213-0553
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
711
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200762311
—
AR
Enumeration date
12/31/2013
Last updated
02/23/2015
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