Organization
LEGACY VILLAGE GREENHOUSE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRISTIE GINTHER (GUIDE)
(479) 271-2387
Entity
Organization
Contact information
Practice address
1303 NE LEGACY PKWY, BENTONVILLE, AR 72712-4940
(479) 271-2387
(479) 273-5883
Mailing address
1303 NE LEGACY PKWY, BENTONVILLE, AR 72712-4940
(479) 271-2387
(479) 273-5883
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
038
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175718794
—
AR
Enumeration date
05/27/2009
Last updated
05/27/2009
Update your record
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