Organization
PINE RIDGE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK D SAMPSON (AGENT)
(870) 523-4333
Entity
Organization
Contact information
Practice address
1501 S BAY ST, PINE BLUFF, AR 71603-3040
(870) 535-8878
(870) 535-0640
Mailing address
1005 MCLAIN ST, NEWPORT, AR 72112-3529
(870) 523-4333
(870) 523-4341
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
801
AR
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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