Organization
NWA HEALTH & REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE PACZOCHA (OWNER)
(479) 224-6302
Entity
Organization
Contact information
Practice address
3906 KELLEY AVE, SPRINGDALE, AR 72762-4936
(479) 756-3983
(479) 756-9974
Mailing address
PO BOX 423, SPRINGDALE, AR 72765-0423
(479) 224-6302
(479) 756-9974
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
0604046
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F538
CLINIC BC/BS
AZ
Enumeration date
05/19/2006
Last updated
01/17/2008
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