Organization
OSCEOLA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID THREKELD (ADM.)
(870) 563-3201
Entity
Organization
Contact information
Practice address
287 S COUNTRY CLUB RD, OSCEOLA, AR 72370-6047
(870) 563-3201
Mailing address
287 SO. COUNTRY CLUB ROAD, OSCEOLA, AR 72370-6047
(870) 563-3201
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
544
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180796311
—
AR
Enumeration date
04/01/2010
Last updated
04/01/2010
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