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NPI Code Detail

MEDICARE: DARDANELLE NURSING AND REHABILITATION CENTER INC

MEDICARE: DARDANELLE NURSING AND REHABILITATION CENTER INC
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
1314000000XSkilled Nursing Facility818AR

General Provider Information

NPI Number : 1609864578
Entity Type Code : Organization
Provider Name (Legal Business Name) : DARDANELLE NURSING AND REHABILITATION CENTER INC
Provider Business Mailing Address
First Line : 415 ROGERS AVE
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-1903
Country : US
Telephone Number : 479-783-4672
Fax Number : 479-783-2217
Provider Business Practice Location Address
First Line : 2199 STATE HWY. 7 NORTH
Second Line :
City : DARDANELLE
State : AR
Zip : 72834-4228
Country : US
Telephone Number : 479-229-4884
Fax Number : 479-229-2481
Authorized Official
Title or Position : PRESIDENT
Name : MR. MICHAEL S. MORTON
Credential :
Telephone Number : 479-783-4672
Provider Enumeration Date : 10/13/2005
Last Update Date : 04/17/2020

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Directions to “DARDANELLE NURSING AND REHABILITATION CENTER INC ” Practice Location

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