Organization
PHG UNION LLC
Active
Other names
Ella Manor Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEMCKE (MEMBER)
(678) 808-4071
Entity
Organization
Contact information
Practice address
1700 E SHORT HILLSBORO ST, EL DORADO, AR 71730-6458
(870) 862-5124
(870) 881-8053
Mailing address
1700 E SHORT HILLSBORO ST, EL DORADO, AR 71730-6458
(870) 862-5124
(870) 881-8053
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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