Organization
KMJ ENTERPRISES GRAVETTE LLC
Active
Parent organization
KMJ MANAGEMENT
Other names
Ashley Health and Rehabilation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KMJ MANAGEMENT
Authorized official
MRS. PATRICIA A MILLER (PRESIDENT)
(479) 636-5716
Entity
Organization
Contact information
Practice address
2600 N 22ND ST, ROGERS, AR 72756-2200
(479) 636-5716
(479) 636-2080
Mailing address
2600 N 22ND ST, ROGERS, AR 72756-2200
(479) 636-5716
(479) 636-2080
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
723
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164340311
—
AR
Enumeration date
01/29/2007
Last updated
06/10/2008
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