Healthcare Provider Details

I. General information

NPI: 1306125018
Provider Name (Legal Business Name): SEARCY SNF OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2011
Last Update Date: 10/16/2020
Certification Date: 10/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

942 HIGHWAY 65 N
MARSHALL AR
72650-7772
US

IV. Provider business mailing address

942 HIGHWAY 65 N
MARSHALL AR
72650-7772
US

V. Phone/Fax

Practice location:
  • Phone: 870-448-3577
  • Fax: 870-448-4884
Mailing address:
  • Phone: 870-448-3577
  • Fax: 870-448-4884

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: ROSS PONTHIE
Title or Position: MEMBER
Credential:
Phone: 318-443-8167