South Bridge, Llc in Morrilton - Intermediate Care Facility, Mental Illness
South Bridge, Llc - NPI 1568640589
South Bridge, Llc is a Intermediate Care Facility, Mental Illness in Morrilton, Arkansas. South Bridge, Llc practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for South Bridge, Llc is 1568640589. The last update date is 2008-01-31.
South Bridge, Llc's current location address is 1209 S Bridge St, Morrilton, Arkansas. You can contact this provider via phone number 5013545003 and fax number 5013541399. The mailing address for South Bridge, Llc is 1209 S Bridge St, Morrilton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Bridge, Llc |
|---|---|
| Address | 1209 S Bridge St, Morrilton, Arkansas |
| Phone Number | 5013545003 |
| Fax Number | 5013541399 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Holman V Edward |
| Telephone Number | 5012244173 |
NPI Number Detail
| NPI Number | 1568640589 |
|---|---|
| Provider Enumeration Date | 2008-01-31 |
| Last Updated Date | 2008-01-31 |
Provider Mailing Address Detail
| Address | 1209 S Bridge St |
|---|---|
| City | Morrilton |
| State | Arkansas (AR) |
| Post Code | 721104614 |
| Phone Number | 5013545003 |
| Fax Number | 5013541399 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
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Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to South Bridge, Llc by the Centers for Medicare & Medicaid Services?
The South Bridge, Llc has been assigned the NPI (National Provider Identifier) 1568640589 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where South Bridge, Llc's facilities are situated?
The facilities of South Bridge, Llc are physically located at the following address: 1209 S Bridge St, Morrilton, AR, 721104614.
What is the South Bridge, Llc's specialty and taxonomy code?
The South Bridge, Llc's specialty is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy code is 310500000X.
When did the South Bridge, Llc receive its 1568640589?
The South Bridge, Llc was issued its 1568640589 on 2008-01-31, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to South Bridge, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to South Bridge, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-31.