Organization
HOMESTEAD NURSING, LLC
Active
Other names
Homestead Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
BOYD GENTRY (PRESIDENT & CEO)
(937) 964-8974
Entity
Organization
Contact information
Practice address
826 NORTH ST, STAMPS, AR 71860-4522
(870) 533-4444
(870) 533-8841
Mailing address
826 NORTH ST, STAMPS, AR 71860-4522
(870) 533-4444
(870) 533-8841
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188651311
—
AR
Enumeration date
09/22/2011
Last updated
10/19/2011
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