Healthcare Provider Details

I. General information

NPI: 1376903906
Provider Name (Legal Business Name): SILVER LININGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2016
Last Update Date: 02/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 MT VIEW RD
GLENWOOD AR
71943
US

IV. Provider business mailing address

615 MT VIEW RD
GLENWOOD AR
71943
US

V. Phone/Fax

Practice location:
  • Phone: 870-356-3953
  • Fax:
Mailing address:
  • Phone: 870-356-3953
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberOT1323
License Number StateAR

VIII. Authorized Official

Name: RISK STILL
Title or Position: BUSINESS DEVELOPMENT DIRECTOR
Credential:
Phone: 479-228-7356