Organization
REGIONAL CARE OF JACKSONVILLE, LLC
Active
Other names
Woodland Hills Healthcare and Rehabilitation of Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN KILGORE (MANAGER)
(479) 464-0200
Entity
Organization
Contact information
Practice address
1320 BRADEN ST, JACKSONVILLE, AR 72076-3719
(501) 241-2191
(501) 241-2197
Mailing address
222 S 1ST ST, ROGERS, AR 72756-4504
(479) 464-0200
(479) 464-8098
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
700
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119706311
—
AR
Enumeration date
07/10/2006
Last updated
11/07/2014
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