Healthcare Provider Details

I. General information

NPI: 1992759310
Provider Name (Legal Business Name): THE MEADOWS HEALTH & REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 03/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 W WALNUT ST
CORNING AR
72422-2000
US

IV. Provider business mailing address

806 W WALNUT ST
CORNING AR
72422-2000
US

V. Phone/Fax

Practice location:
  • Phone: 870-857-3100
  • Fax: 870-857-6396
Mailing address:
  • Phone: 870-857-3100
  • Fax: 870-857-6396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number797
License Number StateAR

VIII. Authorized Official

Name: MRS. DEBBIE J PERRON
Title or Position: REGIONAL BUSINESS OFFICE MANAGER
Credential:
Phone: 501-888-4200