Organization
RUSSELLVILLE HOLDINGS LLC
Active
Parent organization
RUSSELLVILLE HOLDINGS LLC
Other names
Saint Mary's Regional Medical Center Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
RUSSELLVILLE HOLDINGS LLC
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
(479) 968-2841
(479) 968-8189
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
4192
AR
Other
Enumeration date
05/17/2006
Last updated
07/31/2023
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