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Organization

ST. BERNARDS VILLAGE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHNNY KEVIN HODGES MBA (V.P. - SENIOR SERVICES)
(870) 932-8141
Entity
Organization

Contact information

Practice address
1606 HEERN DR, JONESBORO, AR 72401-5098
(870) 972-4166
(870) 972-1749
Mailing address
1606 HEERN DR, JONESBORO, AR 72401-5098
(870) 972-4166
(870) 972-1749

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AR354
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134880732
AR
Enumeration date
07/21/2006
Last updated
07/28/2008
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