Organization
BENTON SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHEPARD (MANAGER)
(501) 276-8883
Entity
Organization
Contact information
Practice address
1180 HIGHWAY 71 S, MENA, AR 71953-3908
(501) 276-8883
Mailing address
1180 HIGHWAY 71 S, MENA, AR 71953-3908
(501) 276-8883
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AR
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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