Healthcare Provider Details

I. General information

NPI: 1093755506
Provider Name (Legal Business Name): ENGLAND MANOR NURSING HOME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 STUTTGART HWY
ENGLAND AR
72046-2440
US

IV. Provider business mailing address

400 STUTTGART HWY P.O. BOX 302
ENGLAND AR
72046-2440
US

V. Phone/Fax

Practice location:
  • Phone: 501-842-2771
  • Fax: 501-842-2709
Mailing address:
  • Phone: 501-842-2771
  • Fax: 501-842-2709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number04E044
License Number StateAR

VIII. Authorized Official

Name: MR. DANIEL CHESLEY COX
Title or Position: ADMINISTRATOR
Credential:
Phone: 501-842-2771