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Organization

NORTHPORT HEALTH SERVICES OF ARKANSAS, LLC

Active
Other names
Paris Health & Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
PHILLIP CODY LONG (CFO)
(205) 391-3600
Entity
Organization

Contact information

Practice address
1414 S ELM ST, PARIS, AR 72855-4924
(479) 963-6151
Mailing address
1414 S ELM ST, PARIS, AR 72855-4924

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
609
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119609311
AR
Enumeration date
05/23/2006
Last updated
10/26/2020
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