Organization
ST. MICHAEL'S PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA KILGORE (PRESIDENT)
(479) 434-5500
Entity
Organization
Contact information
Practice address
1311 N PECAN ST, NEWPORT, AR 72112-2816
(870) 523-9514
Mailing address
1150 S WALDRON RD, FORT SMITH, AR 72903-2583
(479) 434-5500
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
AR
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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