INNISFREE NURSING CTR INC
Assisted Living Facility
Rogers, Arkansas
Provider NPI: 1255327508
Organization Information:Organization Name: INNISFREE NURSING CTR INC
Practice Location:
301 S 24TH ST ROGERS, AR 72758 US
Tel: 479-636-5545 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
301 S 24TH ST ROGERS, AR 72758 US
Tel: 479-636-5545 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | AR | 552 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | 15302 | AR | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin