Organization
MALVERN HEALTH AND REHAB LLC
Active
Other names
ENCORE HEALTHCARE AND REHAB OF MALVERN
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PONTHIE (MEMBER)
(318) 216-3316
Entity
Organization
Contact information
Practice address
1820 W MOLINE ST, MALVERN, AR 72104-2644
(501) 337-9581
Mailing address
7607 FERN AVE STE 202, SHREVEPORT, LA 71105-5699
(318) 216-3316
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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