Organization
MEDI-HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IMELDIA SUE RUSHER LPN ADM (ADMINISTRATOR)
(479) 452-1541
Entity
Organization
Contact information
Practice address
4623 ROGERS AVE, FORT SMITH, AR 72903-4623
(479) 452-1541
(479) 452-2589
Mailing address
4623 ROGERS AVE, FORT SMITH, AR 72903-4623
(479) 452-1541
(479) 452-2589
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
045
AR
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
About Stedi
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