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Organization

BLANKENSHIP MANAGEMENT CO.

Active
Other names
Southridge Village of Conway
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ASHLEY M BLANKENSHIP (ADMINISTRATOR)
(501) 327-3030
Entity
Organization

Contact information

Practice address
1306 S DONAGHEY AVE, CONWAY, AR 72034-6711
(501) 327-3030
(501) 327-3034
Mailing address
1306 S DONAGHEY AVE, CONWAY, AR 72034-6711
(501) 327-3030
(501) 327-3034

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
044
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
179489794
AR
Enumeration date
12/02/2009
Last updated
12/02/2009
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