NPI 1942357405

Green Acre Lodge INC.

Organisation Assisted Living Facility Holiday Island, AR

Practice location

Address: 89 Hillside Dr, Holiday Island, AR 72631-4618
Phone: (479) 253-6553
Fax: (479) 253-5043

Authorised official

Name: Perla Talebi
Title: Administrator
Phone: (479) 253-6553

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 03-009 (AR)

Other Assisted Living Facility providers in Arkansas →

Registry record

NPI: 1942357405
Entity type: Organization
NPI issued: 5 Jan 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.