Organization
NORTHPORT HEALTH SERVICES OF ARKANSAS, LLC
Active
Other names
Legacy Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP CODY LONG (CFO)
(205) 391-3600
Entity
Organization
Contact information
Practice address
3310 N 50TH ST, FORT SMITH, AR 72904-4451
(479) 783-3101
Mailing address
3310 N 50TH ST, FORT SMITH, AR 72904-4451
(479) 783-3101
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
593
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591311
—
AR
Enumeration date
05/25/2006
Last updated
10/26/2020
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