Organization
DOGWOOD HOMEPLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS H. NOONER JR. M (MANAGER)
(479) 464-4714
Entity
Organization
Contact information
Practice address
200 KNIGHT DR, SALTILLO, MS 38866-9182
(662) 869-7009
(662) 869-1016
Mailing address
PO BOX 2490, BENTONVILLE, AR 72712-7700
(479) 464-4714
(479) 464-4752
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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