Organization
DAVIS NURSING ASSOCIATION
Active
Other names
Davis Life Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL T SHEPARD (EXECUTIVE DIRECTOR)
(870) 541-0342
Entity
Organization
Contact information
Practice address
6810 S HAZEL ST, PINE BLUFF, AR 71603-7828
(870) 541-0342
(870) 850-7967
Mailing address
6810 S HAZEL ST, PINE BLUFF, AR 71603-7828
(870) 541-0342
(870) 850-7967
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
658
AR
Other
Enumeration date
10/11/2005
Last updated
08/22/2020
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