Organization
PLEASANT MANOR NURSING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY JEANETTE BURGESS LPN ADMINISTRATOR (ADMINISTRATOR)
(870) 898-5001
Entity
Organization
Contact information
Practice address
950 HOMESTEAD DR, ASHDOWN, AR 71822-4304
(870) 898-5001
(870) 898-3342
Mailing address
950 HOMESTEAD DR, ASHDOWN, AR 71822-4304
(870) 898-5001
(870) 898-3342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
721
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15227
MEDI PAK
—
Enumeration date
06/30/2005
Last updated
02/13/2008
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