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AL BLYTHEVILLE OPERATIONS LLC NPI 1235318916


NPI Information

NPI: 1235318916
Provider Name: AL BLYTHEVILLE OPERATIONS, LLC

Doing Business As: ELMCROFT OF BLYTHEVILLE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1401 E MOULTRIE DR
BLYTHEVILLE, AR
ZIP 72315
Phone: (870) 838-0033
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AL BLYTHEVILLE OPERATIONS, LLC is an assisted living facility in Blytheville, AR. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. AL BLYTHEVILLE OPERATIONS, LLC NPI is 1235318916. The provider is registered as an organization entity type.
The provider Is Doing Business As Elmcroft Of Blytheville.

The provider's business location address is:

1401 E MOULTRIE DR
BLYTHEVILLE, AR
ZIP 72315-855
Phone: (870) 838-0033
Fax: (870) 838-0034

The provider's authorized official is Robin L. Barber .
The authorized official title is Vice President and has the following contact phone number (502) 753-6004.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 10/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility462ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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