Organization
COMMUNITY COMPASSION MAGNOLIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL A. WYATT (PRESIDENT)
(501) 690-1335
Entity
Organization
Contact information
Practice address
2642 N DUDNEY RD, MAGNOLIA, AR 71753-4305
(501) 690-1335
Mailing address
2642 N DUDNEY RD, MAGNOLIA, AR 71753-4305
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
AR
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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