Organization
THE MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KINGSBOROUGH (EXECUTIVE DIRECTOR)
(501) 444-2390
Entity
Organization
Contact information
Practice address
9800 MAUMELLE BLVD, NORTH LITTLE ROCK, AR 72113-7027
(501) 444-2390
(501) 421-9140
Mailing address
9800 MAUMELLE BLVD, NORTH LITTLE ROCK, AR 72113-7027
(501) 444-2390
(501) 421-9140
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
APPLIED
AR
Other
Enumeration date
04/13/2013
Last updated
04/13/2013
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