Organization
KMJ ENTERPRISES BENTON I LLC
Active
Parent organization
KMJ MANAGEMENT
Other names
StoneyBrook Health and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KMJ MANAGEMENT
Authorized official
PATRICIA MILLER (PRESIDENT/CEO)
(479) 636-5716
Entity
Organization
Contact information
Practice address
3300 MILITARY RD, BENTON, AR 72015-2581
(501) 778-8282
(501) 778-1232
Mailing address
3300 MILITARY RD, BENTON, AR 72015-2581
(501) 778-8282
(501) 778-1232
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
709
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119717311
—
AR
Enumeration date
09/30/2005
Last updated
06/10/2008
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