=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972593911
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ERRS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/21/2005
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 S COKER
-----------------------------------------------------
City | GREENWOOD
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72936-2000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 479-996-4125
-----------------------------------------------------
Fax | 479-996-4023
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO DRAWER 2000
-----------------------------------------------------
City | GREENWOOD
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72936-2000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 479-996-4125
-----------------------------------------------------
Fax | 479-996-4023
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MR. ROGER MARVIN CORBIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 479-996-4125
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 313M00000X
-----------------------------------------------------
Taxonomy Name | Nursing Facility/Intermediate Care Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------