Organization
WCAL#1, LLC
Active
Other names
Mason's Place
Organization subpart
No
Provider details
NPI number
Authorized official
JOEY MARTIN WIGGINS (MEMBER)
(501) 305-3153
Entity
Organization
Contact information
Practice address
105 S COLLEGE ST, SEARCY, AR 72143-5144
(501) 268-0400
(501) 268-0402
Mailing address
2908 HAWKINS DR, SLOT 116, SEARCY, AR 72143-4802
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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