Organization
VALLEY RIVER NURSING, LLC
Active
Other names
River Valley Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
BOYD GENTRY (PRESIDENT & CEO)
(937) 964-8974
Entity
Organization
Contact information
Practice address
5301 WHEELER AVE, FORT SMITH, AR 72901-8339
(479) 646-3454
(479) 646-6260
Mailing address
5301 WHEELER AVE, FORT SMITH, AR 72901-8339
(479) 646-3454
(479) 646-6260
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188648311
—
AR
Enumeration date
09/12/2011
Last updated
10/19/2011
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