PEACHTREE MENA LLC NPI 1518120740

NPI Information

PEACHTREE MENA LLC is an assisted living facility in Mena, 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. PEACHTREE MENA LLC NPI is 1518120740. The provider is registered as an organization entity type.
The provider Is Doing Business As Peachtree Assisted Living.

The provider's business location address is:

1803 CORDIE DR
MENA, AR
ZIP 71953-340
Phone: (479) 394-2600
Fax: (870) 540-0012

The provider's authorized official is Michael Thomas Shepard .
The authorized official title is Managing Member and has the following contact phone number (501) 276-8883.

The enumeration date for this NPI number is 7/8/2008 and was last updated on 7/8/2008.

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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