Organization
HENNESSEY NURSING & REHABILITATION LLC
Active
Other names
Hennessey Nursing & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD MONTGOMERY (MANAGING MEMBER)
(479) 715-6759
Entity
Organization
Contact information
Practice address
705 E 3RD ST, HENNESSEY, OK 73742-1620
(405) 853-4390
(405) 853-4389
Mailing address
9 PROFESSIONAL DR, BELLA VISTA, AR 72715-8462
(479) 715-6957
(479) 715-6922
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
04/28/2023
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