MEDICARE: 3P PARTNERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1003551557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	3P PARTNERS LLC

Provider Business Mailing Address
First Line	:	3021 TWIN RIVERS DR
Second Line	:
City	:	ARKADELPHIA
State	:	AR
Zip	:	71923-4219
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3021 TWIN RIVERS DR
Second Line	:
City	:	ARKADELPHIA
State	:	AR
Zip	:	71923-4219
Country	:	US
Telephone Number	:	870-246-6337
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	JOHN PONTHIE
Credential	:
Telephone Number	:	318-216-3316

Provider Enumeration Date	:	04/29/2022
Last Update Date	:	04/29/2022

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Directions to “3P PARTNERS LLC ” Practice Location

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