Healthcare Provider Details
I. General information
NPI: 1952580938
Provider Name (Legal Business Name): UNION OPERATIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2007
Last Update Date: 10/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2415 W HILLSBORO ST
EL DORADO AR
71730-6815
US
IV. Provider business mailing address
5909 JACKSON STREET EXT
ALEXANDRIA LA
71303-2048
US
V. Phone/Fax
- Phone: 870-875-1580
- Fax: 870-863-5092
- Phone: 318-443-8167
- Fax: 318-443-5557
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MARK
THOMPSON
Title or Position: MANAGING PARTNER
Credential:
Phone: 318-443-8167