Healthcare Provider Details

I. General information

NPI: 1083088504
Provider Name (Legal Business Name): SOMERSET SENIOR LIVING AT CANYON SPRINGS
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

1401 PARK AVE
HOT SPRINGS AR
71901-2812
US

IV. Provider business mailing address

1401 PARK AVE
HOT SPRINGS AR
71901-2812
US

V. Phone/Fax

Practice location:
  • Phone: 501-623-3781
  • Fax: 501-321-9916
Mailing address:
  • Phone: 501-623-3781
  • Fax: 501-321-9916

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: BARBARA GILMORE
Title or Position: ADMINISTRATOR
Credential:
Phone: 501-623-3781