Organization
MMNC INC
Active
Parent organization
OVATION HEALTH SYSTEMS INC
Other names
THE LAKES AT MAUMELLE HEALTH AND REHABILITATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
OVATION HEALTH SYSTEMS INC
Authorized official
ANTHONY BRANDON ADAMS (PRESIDENT)
(501) 932-0050
Entity
Organization
Contact information
Practice address
103 ALEXANDRIA DR, MAUMELLE, AR 72113-6571
(501) 743-1400
(501) 743-1411
Mailing address
103 ALEXANDRIA DR, MAUMELLE, AR 72113-6571
(501) 743-1400
(501) 743-1411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
997
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195063311
—
AR
Enumeration date
11/19/2012
Last updated
02/15/2013
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