Organization
PRESBYTERIAN VILLAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN YANCEY CEO (CHIEF EXECUTIVE OFFICER)
(501) 225-1615
Entity
Organization
Contact information
Practice address
500 BROOKSIDE DR, LITTLE ROCK, AR 72205-1694
(501) 225-1615
(501) 225-0849
Mailing address
500 BROOKSIDE DRIVE, LITTLE ROCK, AR 72205
(501) 225-1615
(501) 225-0849
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
060
AR
314000000X
Skilled Nursing Facility
Primary
9010
AR
Other
Enumeration date
05/23/2007
Last updated
07/17/2013
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