NPI 1326113689
St. John's Place of Arkansas
Practice location
- Address
- 815 Baxter St., Fordyce, AR 71742-1025
- Phone
- (870) 352-2104
- Mailing address
- PO Box 1025, Fordyce, AR 71742-1025
Authorised official
- Name
- Ross Ponthie
- Title
- Managing Member
- Phone
- (318) 443-8167
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1326113689
- Entity type
- Organization
- NPI issued
- 22 Nov 2006
- Record last updated
- 22 Aug 2020
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.