Organization
SOUTH BRIDGE, LLC
Active
Other names
Retirement Center of Morrilton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD V HOLMAN (OWNER)
(501) 224-4173
Entity
Organization
Contact information
Practice address
1209 S BRIDGE ST, MORRILTON, AR 72110-4614
(501) 354-5003
(501) 354-1399
Mailing address
PO BOX 56678, LITTLE ROCK, AR 72215-6678
(501) 224-4173
(501) 217-0445
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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