Healthcare Provider Details

I. General information

NPI: 1851765382
Provider Name (Legal Business Name): SOMERSET SENIOR LIVING AT PINE HILLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2015
Last Update Date: 07/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 MAGNOLIA RD
CAMDEN AR
71701-4626
US

IV. Provider business mailing address

900 MAGNOLIA RD
CAMDEN AR
71701-4626
US

V. Phone/Fax

Practice location:
  • Phone: 870-836-6833
  • Fax: 870-836-7178
Mailing address:
  • Phone: 870-836-6833
  • Fax: 870-836-7178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ROBIN LOONEY
Title or Position: ADMINISTRATOR
Credential:
Phone: 870-836-6833