NPI 1518517127

Peachtree Village, LLC

Organisation Assisted Living Facility Fort Smith, AR

Practice location

Address: 1500 Fresno St, Fort Smith, AR 72901-7023
Phone: (479) 785-5544
Mailing address: 24068 E 785 Rd, Welling, OK 74471-2356

Authorised official

Name: Janet Lynn Nordlie
Title: Operating Manager
Phone: (719) 200-3049

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1518517127
Entity type: Organization
NPI issued: 16 Sep 2019
Record last updated: 16 Sep 2019

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.