Organization
WATERS OF FORT SMITH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOISHE GUBIN (MANAGER)
(708) 449-1900
Entity
Organization
Contact information
Practice address
5301 WHEELER AVE, FORT SMITH, AR 72901-8339
(479) 646-3454
Mailing address
5301 WHEELER AVE, FORT SMITH, AR 72901-8339
(479) 646-3454
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
08/05/2020
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