NPI 1043003643
Brookside Drive Operating LLC
Practice location
- Address
- 800 Brookside Dr, Little Rock, AR 72205-1644
- Phone
- (501) 224-3940
- Mailing address
- 1999 Cedarbridge Ave STE 3b, Lakewood, NJ 08701-7048
Authorised official
- Name
- Israel Ganz
- Title
- Director
- Phone
- (732) 366-5705
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1043003643
- Entity type
- Organization
- NPI issued
- 27 May 2025
- Record last updated
- 28 Nov 2025
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.