NPI 1740407493

Peachtree Lane at Mena, LLC

Organisation Assisted Living Facility Mena, AR

Practice location

Address: 1803 Cordie Dr, Mena, AR 71953-9340
Phone: (479) 394-2600
Fax: (479) 394-2608
Mailing address: 1422 Fresno St, Fort Smith, AR 72901-7065

Authorised official

Name: Annette Landrum
Title: Managing Member Owner
Phone: (479) 783-0718

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 008 (AR)

Other Assisted Living Facility providers in Arkansas →

Registry record

NPI: 1740407493
Entity type: Organization
NPI issued: 20 Apr 2007
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.