Organization
CONCORDIA NURSING & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADFORD MONTGOMERY (MEMBER)
(479) 715-6759
Entity
Organization
Contact information
Practice address
7 PROFESSIONAL DR, BELLA VISTA, AR 72715-8462
(479) 855-3735
Mailing address
1501 SE WALTON BLVD, SUITE 205, BENTONVILLE, AR 72712-3734
(479) 715-6759
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/19/2013
Last updated
04/01/2015
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