Organization
JACQUELINE KILGORE LLC
Active
Other names
LONGMEADOW NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
AVON MITCHELL (OFFICE MANAGER)
(501) 332-6934
Entity
Organization
Contact information
Practice address
912 SECTION LINE ST, MALVERN, AR 72104
(501) 332-6934
(501) 332-6838
Mailing address
P.O. BOX 566, MALVERN, AR 72104
(501) 332-6934
(501) 332-6838
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
656
AR
Other
Enumeration date
04/18/2007
Last updated
01/28/2010
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