Organization
AL BLYTHEVILLE OPERATIONS, LLC
Active
Other names
Elmcroft of Blytheville
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBIN L. BARBER (VICE PRESIDENT)
(502) 753-6004
Entity
Organization
Contact information
Practice address
1401 E MOULTRIE DR, BLYTHEVILLE, AR 72315-6855
(870) 838-0033
(870) 838-0034
Mailing address
9510 ORMSBY STATION RD, SUITE 101, LOUISVILLE, KY 40223-4081
(502) 753-6004
(502) 753-6104
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
462
AR
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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