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Organization

SUPERIOR HEALTH & REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERRY D SAMS (MEMBER)
(479) 783-4672
Entity
Organization

Contact information

Practice address
625 TOMMY LEWIS DR, CONWAY, AR 72032-7006
(501) 585-6800
Mailing address
415 ROGERS AVE, FORT SMITH, AR 72901-1903
(479) 783-4672
(479) 783-2217

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
234088311
AR
Enumeration date
02/19/2019
Last updated
05/28/2020
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