Peachtree Mena Llc in Mena - Assisted Living Facility
Peachtree Mena Llc - NPI 1518120740
Peachtree Mena Llc is a Assisted Living Facility in Mena, Arkansas. Peachtree Mena Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Peachtree Mena Llc is 1518120740. The last update date is 2008-07-08.
Peachtree Mena Llc's current location address is 1803 Cordie Dr, Mena, Arkansas. You can contact this provider via phone number 4793942600 and fax number 8705400012. The mailing address for Peachtree Mena Llc is 1803 Cordie Dr, Mena, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peachtree Mena Llc |
|---|---|
| Address | 1803 Cordie Dr, Mena, Arkansas |
| Phone Number | 4793942600 |
| Fax Number | 8705400012 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Shepard Thomas Michael |
| Telephone Number | 5012768883 |
NPI Number Detail
| NPI Number | 1518120740 |
|---|---|
| Provider Enumeration Date | 2008-07-08 |
| Last Updated Date | 2008-07-08 |
Provider Mailing Address Detail
| Address | 1803 Cordie Dr |
|---|---|
| City | Mena |
| State | Arkansas (AR) |
| Post Code | 719539340 |
| Phone Number | 4793942600 |
| Fax Number | 8705400012 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
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Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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Post Comment/ Review Below
What is the Peachtree Mena Llc's 1518120740?
The Peachtree Mena Llc's NPI (National Provider Identifier) Number is 1518120740. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Peachtree Mena Llc located?
The Peachtree Mena Llc is located at 1803 Cordie Dr, Mena, AR 719539340.
What is Peachtree Mena Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Peachtree Mena Llc is Assisted Living Facility, and the corresponding taxonomy classification code for this specialized field is 310400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518120740 to Peachtree Mena Llc?
The Centers for Medicare & Medicaid Services originally issued the 1518120740 to Peachtree Mena Llc on 2008-07-08.
When was the information related to Peachtree Mena Llc most recently updated or refreshed?
The details pertaining to the Peachtree Mena Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-08.