NPI 1568640589

South Bridge, LLC

Organisation Mental Illness Intermediate Care Facility Morrilton, AR

Practice location

Address: 1209 S Bridge St, Morrilton, AR 72110-4614
Phone: (501) 354-5003
Fax: (501) 354-1399
Mailing address: PO Box 56678, Little Rock, AR 72215-6678

Authorised official

Name: Edward V Holman
Title: Owner
Phone: (501) 224-4173

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in Arkansas →

Registry record

NPI: 1568640589
Entity type: Organization
NPI issued: 31 Jan 2008
Record last updated: 31 Jan 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.