NPI 1215676903

Southern Pines Health Opco LLC

Organisation Skilled Nursing Facility Prescott, AR

Practice location

Address: 700 Manor Rd, Prescott, AR 71857-2800
Phone: (870) 455-1086
Fax: (870) 887-6690
Mailing address: PO Box 8250, Searcy, AR 72145-8250

Authorised official

Name: Ethan Dreifus
Title: Authorized Signatory
Phone: (501) 961-8100

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Arkansas →

Registry record

NPI: 1215676903
Entity type: Organization
NPI issued: 1 Jun 2022
Record last updated: 9 Aug 2023

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.