NPI 1821571795
Ltc of van Buren, LLC
Practice location
- Address
- 2010 Main St, Van Buren, AR 72956-4957
- Phone
- (479) 474-6885
- Mailing address
- 3750 Osage Beach Pkwy, Osage Beach, MO 65065-2179
Authorised official
- Name
- Matias Dasal
- Title
- Manager
- Phone
- (573) 761-7100
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1821571795
- Entity type
- Organization
- NPI issued
- 7 Sep 2018
- Record last updated
- 7 Sep 2018
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.