Organization
MADISON HEALTH & REHAB LLC
Active
Other names
Southwest Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE PERRON (REGIONAL BUSINESS OFFFICE MANAGER)
(501) 888-4200
Entity
Organization
Contact information
Practice address
2821 W DIXON RD, LITTLE ROCK, AR 72206-4256
(501) 888-4200
(501) 888-4891
Mailing address
2821 W DIXON RD, LITTLE ROCK, AR 72206-4256
(501) 888-4200
(501) 888-4891
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
860
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167841311
—
AR
Enumeration date
06/20/2008
Last updated
06/20/2008
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