Organization
FORDYCE ASSISTED LIVING INC
Active
Other names
Daltons Place at Fordyce
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CARLA D TENBROOK (EXECUTIVE DIRECTOR)
(479) 394-3200
Entity
Organization
Contact information
Practice address
1718 INDUSTRIAL DR, FORDYCE, AR 71074
(870) 890-2412
Mailing address
1718 INDUSTRIAL DR, FORDYCE, AR 71742
(870) 890-2408
(870) 890-2420
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
097
AR
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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