Organization
COLUMBIA OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PONTHIE (MEMBER)
(318) 443-8167
Entity
Organization
Contact information
Practice address
301 BOUNDARY ST, MAGNOLIA, AR 71753-3305
(870) 234-1361
(870) 234-4267
Mailing address
301 BOUNDARY ST, MAGNOLIA, AR 71753-3305
(870) 234-1361
(870) 234-4267
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0454
AR
Other
Enumeration date
01/03/2008
Last updated
01/15/2008
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