Organization
GOSNELL THERAPY AND LIVING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY HARGIS (PRESIDENT)
(870) 368-4050
Entity
Organization
Contact information
Practice address
700 MOODY ST, GOSNELL, AR 72319-6110
(870) 532-5550
(870) 532-5600
Mailing address
PO BOX 506, MELBOURNE, AR 72556-0506
(870) 368-4050
(870) 368-4054
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
927
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182994311
—
AR
Enumeration date
09/11/2010
Last updated
04/01/2011
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