Healthcare Provider Details

I. General information

NPI: 1386718633
Provider Name (Legal Business Name): SUMMIT HEALTH & REHABILITATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 N. LONG AVE.
TAYLOR AR
71861
US

IV. Provider business mailing address

506 N. LONG AVE.
TAYLOR AR
71861
US

V. Phone/Fax

Practice location:
  • Phone: 870-694-3781
  • Fax: 870-694-2084
Mailing address:
  • Phone: 870-694-3781
  • Fax: 870-694-2084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number782
License Number StateAR

VIII. Authorized Official

Name: NINA ALLEN
Title or Position: DIRECTOR OF BUSINESS AFFAIRS
Credential:
Phone: 870-694-3781