Organization
WATERS OF NEWPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLISKO (MBR)
(708) 449-1900
Entity
Organization
Contact information
Practice address
326 LINDLEY LN, NEWPORT, AR 72112-4948
(870) 523-6539
Mailing address
326 LINDLEY LN, NEWPORT, AR 72112-4948
(870) 523-6539
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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