Organization
PEACHTREE VILLAGE OF FARMINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET LYNN NORDLIE (OPERATING MANAGER)
(719) 200-3049
Entity
Organization
Contact information
Practice address
55 W RAINSONG ST, FARMINGTON, AR 72730-8635
(479) 267-3335
Mailing address
24068 E 785 RD, WELLING, OK 74471-2356
(719) 200-3049
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
054
AR
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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