Organization
VICTORIA EUREKA SPRINGS INC.
Active
Other names
Brighton Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY JUNE KILGORE CPA (CONTROLLER)
(479) 474-6885
Entity
Organization
Contact information
Practice address
235 HUNTSVILLE RD, EUREKA SPRINGS, AR 72632-9572
(479) 253-7038
(479) 253-2954
Mailing address
2010 MAIN ST, VAN BUREN, AR 72956-4957
(479) 474-6885
(479) 474-9523
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
835
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15242
OTHER INSURANCE
AR
05
—
163457311
—
AR
Enumeration date
02/26/2007
Last updated
01/12/2010
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