NPI 1164748463

Bentonville Assisted Living Services

Organisation Assisted Living Facility Bentonville, AR

Practice location

Address: 3317 SE L St, Bentonville, AR 72712-3793
Phone: (479) 254-8759
Fax: (479) 254-9349
Mailing address: 808 N Main St APT 1, Bentonville, AR 72712-4830

Authorised official

Name: Thomas C Oppenheim
Title: President
Phone: (479) 426-6510

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 180230794 (AR)

Other Assisted Living Facility providers in Arkansas →

Registry record

NPI: 1164748463
Entity type: Organization
NPI issued: 12 Apr 2010
Record last updated: 12 Apr 2010

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.