Organization
WINDSOR COTTAGE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA A POWELL (OWNER)
(870) 773-0417
Entity
Organization
Contact information
Practice address
4110 JEFFERSON AVE, TEXARKANA, AR 71854-1512
(870) 773-0417
(870) 772-3868
Mailing address
4110 JEFFERSON AVE, TEXARKANA, AR 71854-1512
(870) 773-0417
(870) 772-3868
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC022418
—
AR
Enumeration date
08/15/2013
Last updated
08/15/2013
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