Organization
GREEN ACRE EASY LLIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALISA ALSIP (ADMINISTRATOR)
(479) 631-1552
Entity
Organization
Contact information
Practice address
2407 W OAK ST, ROGERS, AR 72758-3943
(479) 631-1552
(479) 631-2797
Mailing address
2407 W OAK ST, ROGERS, AR 72758-3943
(479) 631-1552
(479) 631-2797
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222026794
—
AR
Enumeration date
12/21/2017
Last updated
12/21/2017
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