Organization
HAZEN SNF OPERATOR LLC
Active
Other names
Maple Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER F BROGDON (MANAGER)
(404) 549-4294
Entity
Organization
Contact information
Practice address
200 S MAPLE ST, HAZEN, AR 72064-8306
(870) 255-4323
(870) 255-4910
Mailing address
200 S MAPLE ST, HAZEN, AR 72064-8306
(870) 255-4323
(870) 255-4910
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
01/30/2019
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