Organization
BENTONVILLE ASSISTED LIVING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C OPPENHEIM (PRESIDENT)
(479) 426-6510
Entity
Organization
Contact information
Practice address
3317 SE L ST, BENTONVILLE, AR 72712-3793
(479) 254-8759
(479) 254-9349
Mailing address
808 N MAIN ST APT 1, BENTONVILLE, AR 72712-4830
(479) 273-7344
(479) 464-7169
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
180230794
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180230794
—
AR
Enumeration date
04/12/2010
Last updated
04/12/2010
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