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NPI Code Detail

MEDICARE: NEW CARE ASSISTED LIVING, LLC

MEDICARE: NEW CARE ASSISTED LIVING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1659006989
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW CARE ASSISTED LIVING, LLC
Provider Business Mailing Address
First Line : 3310 W MAIN ST
Second Line :
City : CABOT
State : AR
Zip : 72023-7463
Country : US
Telephone Number : 501-259-8337
Fax Number : 501-422-6298
Provider Business Practice Location Address
First Line : 3310 W MAIN ST
Second Line :
City : CABOT
State : AR
Zip : 72023-7463
Country : US
Telephone Number : 501-259-8337
Fax Number : 501-422-6298
Authorized Official
Title or Position : ED
Name : MRS. APRIL SPENCER
Credential :
Telephone Number : 501-259-8337
Provider Enumeration Date : 07/20/2022
Last Update Date : 07/20/2022

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Directions to “NEW CARE ASSISTED LIVING, LLC ” Practice Location

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