Organization
PINE FOREST HEALTH AND REHAB CENTER, LLC
Active
Other names
dba Dallas County Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PONTHIE (OWNER VICE PRESIDENT)
(318) 797-9066
Entity
Organization
Contact information
Practice address
203 N CLIFTON ST, FORDYCE, AR 71742-3026
(870) 352-3625
(870) 352-5053
Mailing address
203 N CLIFTON ST, FORDYCE, AR 71742-3026
(870) 352-3625
(870) 352-5053
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
825
AR
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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