Organization
ELMCROFT OF SHERWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY MIRANDA (CONTROLLER)
(502) 753-6034
Entity
Organization
Contact information
Practice address
9510 ORMSBY STATION RD, SUITE 101, LOUISVILLE, KY 40223-4081
(502) 753-6100
Mailing address
9880 BROCKINGTON RD, SHERWOOD, AR 72120-3585
(501) 835-6000
(501) 835-6509
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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