Organization
QUALIS STRATEGIC NETWORK PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY D SAMS (CFO)
(479) 783-4672
Entity
Organization
Contact information
Practice address
415 ROGERS AVE, FORT SMITH, AR 72901-1903
(479) 783-4672
Mailing address
415 ROGERS AVE, FORT SMITH, AR 72901-1903
(479) 783-4672
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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