Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Texarkana
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY W FISHER (CHIEF FINANCIAL OFFICER)
(620) 251-6700
Entity
Organization
Contact information
Practice address
1621 E 42ND ST, TEXARKANA, AR 71854-1654
(870) 774-3581
(870) 773-2802
Mailing address
1621 E 42ND ST, TEXARKANA, AR 71854-1654
(870) 774-3581
(870) 773-2802
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
219
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109158311
—
AR
Enumeration date
10/10/2006
Last updated
06/23/2008
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