NPI 1033785654

The Green House Cottages of Northwest Arkansas LLC

Organisation Assisted Living Facility Bentonville, AR

Practice location

Address: 1303 NE Legacy Pkwy, Bentonville, AR 72712-4940
Phone: (479) 271-2387
Mailing address: PO Box 12187, Alexandria, LA 71315-2187

Authorised official

Name: John Ponthie
Title: Member
Phone: (318) 443-8167

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1033785654
Entity type: Organization
NPI issued: 3 Jun 2021
Record last updated: 3 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.