Organization
MURFREESBORO REHAB AND NURSING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA L TIDWELL (OWNER/ADMINISTRATOR)
(870) 285-2186
Entity
Organization
Contact information
Practice address
110 W 13TH ST, MURFREESBORO, AR 71958-9501
(870) 285-2186
(870) 285-2348
Mailing address
110 W 13TH ST, MURFREESBORO, AR 71958-9501
(870) 285-2186
(870) 285-2348
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045415
MEDICARE ID#
AR
05
—
182413311
—
AR
Enumeration date
08/06/2010
Last updated
08/06/2010
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