Organization
CHICOT OPERATIONS, LLC
Active
Other names
Lake Village Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLENE HENSLEY (ADMINISTRATOR)
(870) 265-5337
Entity
Organization
Contact information
Practice address
903 BORGOGNONI DR, LAKE VILLAGE, AR 71653-1623
(870) 265-5337
(870) 265-3275
Mailing address
PO BOX 12187, ALEXANDRIA, LA 71315-2187
(870) 265-5337
(870) 265-3275
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
02/13/2015
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