WOODRUFF COUNTY HEALTH CENTER
Assisted Living Facility
Mc Crory, Arkansas
Provider NPI: 1679574727
Organization Information:Organization Name: WOODRUFF COUNTY HEALTH CENTER
Practice Location:
HWY 64 W # 139 MC CRORY, AR 72101 US
Tel: 870-731-2543 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:
HWY 64 W # 139 MC CRORY, AR 72101 US
Tel: 870-731-2543 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | AR | 220 |
Y | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | AR | 057 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
DEFENSE LOGISTICS AGENCY | 95847673 | 01 | |
DEPT OF VETERAN AFFAIRS | G24681012 | AR | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin