Organization
THE WATERS OF WEST DIXON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLISKO (MBR)
(708) 449-1900
Entity
Organization
Contact information
Practice address
2821 W DIXON RD, LITTLE ROCK, AR 72206-4256
(501) 888-4200
Mailing address
2821 W DIXON RD, LITTLE ROCK, AR 72206-4256
(501) 888-4200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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