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Organization

DIVERSICARE PINEDALE, LLC

Active
Other names
Newport Healthcare and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
RAYMOND L. TYLER JR. (EXECUTIVE VICE PRESIDENT AND COO)
(615) 771-7575
Entity
Organization

Contact information

Practice address
1311 N PECAN ST, NEWPORT, AR 72112-2816
(870) 523-9514
(870) 523-8198
Mailing address
1311 N PECAN ST, NEWPORT, AR 72112-2816
(870) 523-9514
(870) 523-8198

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
654
AR

Other

Enumeration date
10/07/2005
Last updated
08/22/2020
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