Organization
CHG SENIOR LIVING STONEHAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT J SCHULTZ (AUTHORIZED OFFICIAL)
(469) 621-6700
Entity
Organization
Contact information
Practice address
101 OLYMPIA DR, MAUMELLE, AR 72113-6572
(501) 803-3335
Mailing address
2200 ROSS AVE STE 5400, DALLAS, TX 75201-7918
(469) 621-6700
(469) 621-6678
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32637
AR DEPT. OF HUMAN SERVICES
AR
Enumeration date
09/22/2022
Last updated
09/22/2022
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