SOUTH BRIDGE LLC NPI 1568640589

NPI Information

SOUTH BRIDGE, LLC is an intermediate care facility mental illness in Morrilton, AR. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. SOUTH BRIDGE, LLC NPI is 1568640589. The provider is registered as an organization entity type.
The provider Is Doing Business As Retirement Center Of Morrilton.

The provider's business location address is:

1209 S BRIDGE ST
MORRILTON, AR
ZIP 72110-614
Phone: (501) 354-5003
Fax: (501) 354-1399

The provider's authorized official is Edward V Holman .
The authorized official title is Owner and has the following contact phone number (501) 224-4173.

The enumeration date for this NPI number is 1/31/2008 and was last updated on 1/31/2008.

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:

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