NPI 1518120740

Peachtree Mena LLC

Organisation Assisted Living Facility Mena, AR

Practice location

Address: 1803 Cordie Dr, Mena, AR 71953-9340
Phone: (479) 394-2600
Fax: (870) 540-0012

Authorised official

Name: Michael Thomas Shepard
Title: Managing Member
Phone: (501) 276-8883

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1518120740
Entity type: Organization
NPI issued: 8 Jul 2008
Record last updated: 8 Jul 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.