Healthcare Provider Details

I. General information

NPI: 1659527844
Provider Name (Legal Business Name): LINDLEY HEALTH & REHAB CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 08/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 LINDLEY LN
NEWPORT AR
72112-4948
US

IV. Provider business mailing address

326 LINDLEY LN
NEWPORT AR
72112-4948
US

V. Phone/Fax

Practice location:
  • Phone: 870-523-6539
  • Fax: 870-523-8561
Mailing address:
  • Phone: 870-523-6539
  • Fax: 870-523-8561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number863
License Number StateAR

VIII. Authorized Official

Name: JENNA AUSTIN
Title or Position: ADMINISTRATOR
Credential:
Phone: 870-523-6539