NPI 1174514616

Waverley - Arkansas, INC.

Organisation Skilled Nursing Facility West Memphis, AR

Practice location

Address: 610 S Avalon St, West Memphis, AR 72301-4109
Phone: (870) 735-4543

Authorised official

Name: Chauncey R. Dunbar
Title: Secretary / Treasurer
Phone: (601) 956-1576

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 374 (AR)

Other Skilled Nursing Facility providers in Arkansas →

Registry record

NPI: 1174514616
Entity type: Organization
NPI issued: 3 Nov 2005
Record last updated: 11 Mar 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.