Organization
ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC.
Active
Other names
Willowbend at Marion
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARVIN C MCMORRIS (AGENT/DESIGNATED OFFICIAL)
(225) 769-7960
Entity
Organization
Contact information
Practice address
101 BROUGHAM AVE, MARION, AR 72364-2505
(870) 739-3268
(870) 739-4669
Mailing address
101 BROUGHAM AVE, MARION, AR 72364-2505
(870) 739-3268
(870) 739-4669
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
786
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158268311
—
AR
Enumeration date
08/04/2006
Last updated
02/22/2015
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