Healthcare Provider Details

I. General information

NPI: 1376917724
Provider Name (Legal Business Name): SEARCY HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2015
Last Update Date: 02/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 SKYLINE DR
SEARCY AR
72143-6527
US

IV. Provider business mailing address

1205 SKYLINE DR
SEARCY AR
72143-6527
US

V. Phone/Fax

Practice location:
  • Phone: 501-593-4178
  • Fax: 501-279-3842
Mailing address:
  • Phone: 501-593-4178
  • Fax: 501-279-3842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1091
License Number StateAR

VIII. Authorized Official

Name: JOSEPH SCHWARTZ
Title or Position: MANAGER
Credential:
Phone: 201-635-1195