Organization
CONVACARE INC
Active
Other names
Byrd Haven Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOEY MARTIN WIGGINS (PRESIDENT)
(501) 305-3153
Entity
Organization
Contact information
Practice address
2500 E MOORE AVE, SEARCY, AR 72143-4750
(501) 268-2324
(501) 268-0428
Mailing address
2908 HAWKINS DRIVE, SEARCY, AR 72143
(501) 305-3153
(501) 279-3796
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
626
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015209
MEDIPAK
AR
05
—
119629311
—
AR
Enumeration date
04/11/2006
Last updated
03/09/2011
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