NPI 1518976513

Evergreene Properties of North Carolina,llc

Organisation Skilled Nursing Facility Forrest City, AR

Practice location

Address: 603 Kittle Road, Forrest City, AR 72335-1033
Phone: (870) 633-7630
Fax: (870) 633-6863
Mailing address: PO Box 1033, Forrest City, AR 72336-1033

Authorised official

Name: Daniel C Greene
Title: Manager
Phone: (336) 668-3896

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 632 (AR)

Other Skilled Nursing Facility providers in Arkansas →

Registry record

NPI: 1518976513
Entity type: Organization
NPI issued: 7 Aug 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.