Organization
TXKNC, INC.
Active
Other names
Bailey Creek Health & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY BRANDON ADAMS (PRESIDENT)
(501) 932-0050
Entity
Organization
Contact information
Practice address
1621 E 42ND ST, TEXARKANA, AR 71854-1654
(870) 774-3581
(870) 779-9609
Mailing address
1621 E 42ND ST, TEXARKANA, AR 71854-1654
(870) 774-3581
(870) 779-9609
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168490311
—
AR
Enumeration date
06/25/2008
Last updated
08/12/2008
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