Organization
GREENHURST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED H. SCHAFFER RN (PRESIDENT)
(479) 965-2233
Entity
Organization
Contact information
Practice address
226 SKYLER DR, POB 458, CHARLESTON, AR 72933-9337
(479) 965-7373
(479) 965-7372
Mailing address
226 SKYLER DR, POB 458, CHARLESTON, AR 72933-9337
(479) 965-7373
(479) 965-7372
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
109059311
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109059311
—
AR
Enumeration date
02/01/2007
Last updated
09/10/2015
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