Organization
MINE CREEK HEALTH AND REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL BAIRD (MANAGER)
(410) 342-3155
Entity
Organization
Contact information
Practice address
1407 N MAIN ST, NASHVILLE, AR 71852-3733
(870) 845-2012
Mailing address
1422 CLARKVIEW RD, BALTIMORE, MD 21209-2385
(410) 342-3155
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
776
AR
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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