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Organization

BROOKSIDE HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOEY MARTIN WIGGINS (PRESIDENT)
(501) 305-3153
Entity
Organization

Contact information

Practice address
800 BROOKSIDE DR, LITTLE ROCK, AR 72205-1644
(501) 224-3940
(501) 224-6649
Mailing address
2908 HAWKINS DR, SEARCY, AR 72143-4802
(501) 305-3153
(501) 279-3695

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174614311
AR
Enumeration date
10/21/2008
Last updated
03/29/2011
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