Organization
LAWRENCE HALL HEALTH & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA K WAGNER (CFO)
(870) 886-1263
Entity
Organization
Contact information
Practice address
1051 W FREE ST, WALNUT RIDGE, AR 72476-1753
(870) 886-1295
(870) 886-6099
Mailing address
PO BOX 839, WALNUT RIDGE, AR 72476-0839
(870) 886-1295
(870) 886-6099
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
196
AR
314000000X
Skilled Nursing Facility
Primary
196
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119707311
—
AR
Enumeration date
11/15/2006
Last updated
12/11/2018
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