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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
AR552

Other Provider Identifiers:

IssuerNumberStateType
BCBS15302AR01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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