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Organization

MINE CREEK HEALTHCARE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAM JEANES ADMINISTRATOR (ADMINISTRATOR)
(870) 845-2021
Entity
Organization

Contact information

Practice address
1407 N MAIN ST, NASHVILLE, AR 71852-3733
(870) 845-2021
(870) 845-5412
Mailing address
PO BOX 812, NASHVILLE, AR 71852-0812
(870) 845-2021
(870) 845-5412

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
207QG0300X
AR

Other

Enumeration date
10/19/2005
Last updated
02/29/2008
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