Organization
EVERGREENE PPROPERTIES OF NORTH CAROLINA,LLC
Active
Other names
CRESTPARK OF MARIANNA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL C GREENE (MANAGER)
(336) 668-3896
Entity
Organization
Contact information
Practice address
700 WEST CHESTNUT HWY 79 WEST, MARIANNA, AR 72360-0386
(870) 295-3466
(870) 295-5474
Mailing address
PO BOX 386, MARIANNA, AR 72360-0386
(870) 295-3466
(870) 295-5474
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
634
AR
Other
Enumeration date
08/07/2006
Last updated
08/22/2020
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