Organization
ANR1-LLC
Active
Other names
Arkansas Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE DESHOTELS (ADMINISTRATOR)
(870) 772-4427
Entity
Organization
Contact information
Practice address
2107 DUDLEY ST, TEXARKANA, AR 71854-6345
(870) 772-4427
(870) 772-4367
Mailing address
2107 DUDLEY ST, TEXARKANA, AR 71854-6345
(870) 772-4427
(870) 772-4367
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
676
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119684311
—
AR
Enumeration date
09/27/2005
Last updated
03/02/2012
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