Organization
CRESTPARK RETIREMENT HELENA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA BELEW (MANAGER)
(501) 626-7986
Entity
Organization
Contact information
Practice address
110 HOSPITAL DR, HELENA, AR 72342-1507
(870) 338-3405
(870) 338-3499
Mailing address
PO BOX 310, HELENA, AR 72342-0310
(870) 338-3405
(870) 338-3499
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
639
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015349
BCBS PROVIDER NUMBER
AR
05
—
184244311
—
AR
05
—
PENDING
—
AR
Enumeration date
11/18/2008
Last updated
11/30/2010
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