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Organization

VAN BUREN LEGACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TIFFANY PERRYMAN (EXECUTIVE DIRECTOR)
(479) 474-7233
Entity
Organization

Contact information

Practice address
1012 FAYETTEVILLE RD, VAN BUREN, AR 72956-3471
(479) 474-7233
(479) 474-3444
Mailing address
1012 FAYETTEVILLE RD, VAN BUREN, AR 72956-3471
(479) 474-7233
(479) 474-3444

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
311500000X
Alzheimer Center (Dementia Center)

Other

Enumeration date
01/21/2019
Last updated
01/21/2019
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