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Organization

SRN MANAGEMENT 2, LLC

Active
Other names
Promenade Health and Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANDY RYE (VICE PRESIDENT)
(479) 410-1740
Entity
Organization

Contact information

Practice address
1101 S PROMENADE BLVD, ROGERS, AR 72758-1800
(479) 273-3373
Mailing address
8520 S 36TH TER, FORT SMITH, AR 72908-8880
(479) 410-1740

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
958
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208282311
AR
Enumeration date
06/05/2015
Last updated
06/15/2022
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