MEDICARE: CHENAL HEIGHTS HEALTHCARE & REHAB, 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	:	1184907255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHENAL HEIGHTS HEALTHCARE & REHAB, LLC

Provider Business Mailing Address
First Line	:	4704 HIXSON PIKE
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-4840
Country	:	US
Telephone Number	:	423-877-2024
Fax Number	:	423-877-2328

Provider Business Practice Location Address
First Line	:	3 CHENAL HEIGHTS DR
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72223-3910
Country	:	US
Telephone Number	:	501-830-2273
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	MRS. DEBORAH JEAN JONES
Credential	:
Telephone Number	:	423-877-2024

Provider Enumeration Date	:	09/24/2011
Last Update Date	:	07/09/2013

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