NPI 1114485471

Short Mountain Lodge Residential Care

Organisation Adult Care Home Facility Paris, AR

Practice location

Address: 2721 W Walnut St, Paris, AR 72855-3642
Phone: (479) 963-2255

Authorised official

Name: Linda Short
Title: Owner
Phone: (479) 452-4949

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Arkansas →

Registry record

NPI: 1114485471
Entity type: Organization
NPI issued: 6 Mar 2019
Record last updated: 6 Mar 2019

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.