Healthcare Provider Details

I. General information

NPI: 1033141841
Provider Name (Legal Business Name): CRONE HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 04/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 W ELGIN ST
SILOAM SPRINGS AR
72761-2327
US

IV. Provider business mailing address

811 W ELGIN ST
SILOAM SPRINGS AR
72761-2327
US

V. Phone/Fax

Practice location:
  • Phone: 479-524-3128
  • Fax: 479-524-2296
Mailing address:
  • Phone: 479-524-3128
  • Fax: 479-524-2296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number679
License Number StateAR

VIII. Authorized Official

Name: MR. GARY J CRONE
Title or Position: OWNER ADMINISTRATOR
Credential:
Phone: 479-524-3128