Organization
WAVERLEY - ARKANSAS, INC.
Active
Parent organization
WAVERLEY-ARKANSAS, INC.
Other names
Mena Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAVERLEY-ARKANSAS, INC.
Authorized official
MR. CHAUNCEY R. DUNBAR CPA (SECRETARY / TREASURER)
(601) 956-1576
Entity
Organization
Contact information
Practice address
100 9TH ST, MENA, AR 71953-3026
(479) 394-2617
Mailing address
100 9TH ST, MENA, AR 71953-3026
(479) 394-2617
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
373
AR
Other
Enumeration date
11/03/2005
Last updated
03/11/2008
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