Organization
EVERGREENE PROPERTIES OF NORTH CAROLINA,LLC
Active
Other names
CRESTPARK INN OF FORREST CITY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL C GREENE (MANAGER)
(336) 668-3896
Entity
Organization
Contact information
Practice address
603 KITTLE ROAD, FORREST CITY, AR 72335-1033
(870) 633-7630
(870) 633-6863
Mailing address
PO BOX 1033, FORREST CITY, AR 72336-1033
(870) 633-7630
(870) 633-6863
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
632
AR
Other
Enumeration date
08/07/2006
Last updated
08/22/2020
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