St John'S Place Of Arkansas, Llc in Fordyce - Skilled Nursing Facility
St John'S Place Of Arkansas, Llc - NPI 1154541878
St John'S Place Of Arkansas, Llc is a Skilled Nursing Facility in Fordyce, Arkansas. St John'S Place Of Arkansas, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for St John'S Place Of Arkansas, Llc is 1154541878. The last update date is 2023-02-20.
St John'S Place Of Arkansas, Llc's current location address is 1400 Highway 79 167 Byp, Fordyce, Arkansas. You can contact this provider via phone number 8703522104 and fax number 8703528969. The mailing address for St John'S Place Of Arkansas, Llc is 1400 Highway 79 167 Byp, Fordyce, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St John'S Place Of Arkansas, Llc |
|---|---|
| Address | 1400 Highway 79 167 Byp, Fordyce, Arkansas |
| Phone Number | 8703522104 |
| Fax Number | 8703528969 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Ponthie John |
| Telephone Number | 3182163316 |
NPI Number Detail
| NPI Number | 1154541878 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2023-02-20 |
Provider Mailing Address Detail
| Address | 1400 Highway 79 167 Byp |
|---|---|
| City | Fordyce |
| State | Arkansas (AR) |
| Post Code | 717421728 |
| Phone Number | 8703522104 |
| Fax Number | 8703528969 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 832 |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 162887311 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to St John'S Place Of Arkansas, Llc?
The St John'S Place Of Arkansas, Llc has been issued the NPI (National Provider Identifier) 1154541878 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the St John'S Place Of Arkansas, Llc's physical address?
The St John'S Place Of Arkansas, Llc is physically located at 1400 Highway 79 167 Byp, in the city of Fordyce, AR, with the postal code 717421728.
What is the area of specialization for St John'S Place Of Arkansas, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for St John'S Place Of Arkansas, Llc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1154541878 to St John'S Place Of Arkansas, Llc?
The St John'S Place Of Arkansas, Llc received its 1154541878 assignment from the Centers for Medicare & Medicaid Services on 2007-04-26.
As of what date were the details pertaining to St John'S Place Of Arkansas, Llc last refreshed?
The information related to the St John'S Place Of Arkansas, Llc, including its address, specialty, and other relevant details, was last updated on 2023-02-20.
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