Organization
PINE FOREST HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK D SAMPSON (AGENT)
(870) 523-4333
Entity
Organization
Contact information
Practice address
1005 MCLAIN ST, NEWPORT, AR 72112-3529
(870) 523-4333
(870) 523-4341
Mailing address
815 BAXTER ST, FORDYCE, AR 71742-2641
(870) 352-2104
(870) 352-8969
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
795
AR
Other
Enumeration date
05/20/2006
Last updated
08/22/2020
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