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Organization

GENERAL BAPTIST ASSISTED LIVING FACILITY

Active
Other names
Magnolia Manor
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT R COLE (CEO)
(870) 598-1020
Entity
Organization

Contact information

Practice address
1200 GORDON DUCKWORTH DR, PIGGOTT, AR 72454-1911
(870) 598-1020
(870) 598-2196
Mailing address
1200 GORDON DUCKWORTH DR, PIGGOTT, AR 72454-1911
(870) 598-1020
(870) 598-2196

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
043
AR

Other

Enumeration date
10/23/2009
Last updated
05/18/2011
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