Organization
EVEREST REHABILITATION HOSPITAL BENTONVILLE, LLC
Active
Other names
Everest Rehabilitation Hospital Bentonville
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR JENKINS (SECRETARY & TREASURER)
(469) 713-1145
Entity
Organization
Contact information
Practice address
4313 S. PLEASANT CROSSING BLVD., ROGERS, AR 72758
(469) 713-1145
Mailing address
5100 BELT LINE RD STE 310, DALLAS, TX 75254-7124
(469) 713-1145
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240572526
—
AR
Enumeration date
08/20/2019
Last updated
08/24/2021
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