ST. BERNARDS VILLAGE, INC.
Assisted Living Facility
Jonesboro, Arkansas
Provider NPI: 1346260270
Organization Information:Organization Name: ST. BERNARDS VILLAGE, INC.
Practice Location:
1606 HEERN DR JONESBORO, AR 72401 US
Tel: 870-972-4166 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:
1606 HEERN DR JONESBORO, AR 72401 US
Tel: 870-972-4166 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | AR | AR354 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
134880732 | AR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin