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Organization

KMJ ENTERPRISES LITTLE ROCK LLC

Active
Parent organization
KMJ MANAGEMENT
Other names
Brookside Health and Rehabilitation Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
KMJ MANAGEMENT
Authorized official
PATRICIA MILLER (PRESIDENT/CEO)
(479) 636-5716
Entity
Organization

Contact information

Practice address
800 BROOKSIDE DR, LITTLE ROCK, AR 72205-1644
(501) 224-3940
(501) 224-6649
Mailing address
800 BROOKSIDE DR, LITTLE ROCK, AR 72205-1644
(501) 224-3940
(501) 224-6649

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
718
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119726311
AR
Enumeration date
10/03/2005
Last updated
06/10/2008
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