NPI 1124015680

Kmj Enterprises Clarksville LLC

Organisation Skilled Nursing Facility Clarksville, AR

Practice location

Address: 400 Oak CT, Clarksville, AR 72830-3778
Phone: (479) 754-8611
Fax: (479) 754-2369

Authorised official

Name: Patricia Miller
Title: President/Ceo
Phone: (479) 636-5716

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 702 (AR)

Other Skilled Nursing Facility providers in Arkansas →

Registry record

NPI: 1124015680
Entity type: Organization
NPI issued: 30 Sep 2005
Record last updated: 10 Jun 2008

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.