Organization
SALCO NC INC
Active
Parent organization
OVATION HEALTH SYSTEMS INC
Other names
EVERGREEN LIVING CENTER AT STAGECOACH
Organization subpart
Yes
Provider details
NPI number
Legal business name
OVATION HEALTH SYSTEMS INC
Authorized official
ANTHONY BRANDON ADAMS (PRESIDENT/CEO)
(501) 932-0050
Entity
Organization
Contact information
Practice address
6907 HIGHWAY 5 N, BRYANT, AR 72022-7902
(501) 213-0547
(501) 213-0553
Mailing address
6907 HIGHWAY 5 N, BRYANT, AR 72022-7902
(501) 213-0547
(501) 213-0553
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1117
FACILITY LICENSE
AR
05
—
214133311
—
AR
Enumeration date
06/06/2016
Last updated
08/25/2016
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