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NPI Code Detail

MEDICARE: GGNSC HEBER SPRINGS LLC

MEDICARE: GGNSC HEBER SPRINGS 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
1314000000XSkilled Nursing Facility257AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740232909
Entity Type Code : Organization
Provider Name (Legal Business Name) : GGNSC HEBER SPRINGS LLC
Provider Business Mailing Address
First Line : 1040 WEDDING FORD RD
Second Line :
City : HEBER SPRINGS
State : AR
Zip : 72543-1914
Country : US
Telephone Number : 501-362-8137
Fax Number : 501-362-8960
Provider Business Practice Location Address
First Line : 1040 WEDDING FORD RD
Second Line :
City : HEBER SPRINGS
State : AR
Zip : 72543-1914
Country : US
Telephone Number : 501-362-8137
Fax Number : 501-362-8960
Authorized Official
Title or Position : SECRETARY
Name : HOLLY A. RASMUSSEN-JONES
Credential :
Telephone Number : 479-201-4835
Provider Enumeration Date : 05/16/2006
Last Update Date : 08/26/2008

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Directions to “GGNSC HEBER SPRINGS LLC ” Practice Location

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