Organization
VAN BUREN SNF OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PONTHIE (MEMBER)
(318) 443-8167
Entity
Organization
Contact information
Practice address
228 POINTER TRL W, VAN BUREN, AR 72956-2266
(479) 474-5276
Mailing address
228 POINTER TRL W, VAN BUREN, AR 72956-2266
(479) 474-5276
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/17/2015
Last updated
01/12/2021
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