Organization
GNC OF STAR CITY INC
Active
Other names
Gardner Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BRANDON ADAMS (OWNER/PRESIDENT)
(501) 932-0050
Entity
Organization
Contact information
Practice address
702 N DREW ST, STAR CITY, AR 71667-5728
(870) 628-4144
(870) 628-4891
Mailing address
824 SALEM RD, STE 210, CONWAY, AR 72034-4800
(501) 932-0050
(501) 832-0056
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
699
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119704311
—
AR
Enumeration date
09/22/2005
Last updated
07/17/2008
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