Organization
LTC OF CONWAY, LLC
Active
Other names
St. Andrews Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MATHIAS DASAL (MANAGER)
(573) 746-7100
Entity
Organization
Contact information
Practice address
3501 COLLEGE AVE, CONWAY, AR 72034-7281
(501) 329-9879
Mailing address
3750 OSAGE BEACH PKWY, OSAGE BEACH, MO 65065-2179
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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