Healthcare Provider Details

I. General information

NPI: 1174685408
Provider Name (Legal Business Name): STERLING HEALTHCARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 12/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 E 36TH ST
TEXARKANA AR
71854-2215
US

IV. Provider business mailing address

1051 LANTRIP RD
SHERWOOD AR
72120-4161
US

V. Phone/Fax

Practice location:
  • Phone: 870-773-7515
  • Fax: 870-772-4392
Mailing address:
  • Phone: 501-833-5627
  • Fax: 501-835-6905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number729
License Number StateAR

VIII. Authorized Official

Name: MRS. MARILOU LUTH
Title or Position: PRESIDENT
Credential:
Phone: 501-833-5627