Grand Manor

LBN: Grand Manor
Grand Manor is an health care organization with primary practice located at 1960 Highway 425 N , Monticello AR 71655-8862. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Grand Manor can be contacted via phone (870) 412-4400, or through Helms, Jennifer L via phone (870) 412-4400.

Contact Information

Primary practice address
1960 Highway 425 N Monticello AR 71655-8862
Phone: (870) 412-4400
Fax: (870) 412-4506
Website:
Map and Directions
Authorized official contact:
Name: Helms, Jennifer L
Phone: (870) 412-4400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 106 Arkansas

Profile Details

NPI number 1508251786
LBN Legal business name Grand Manor
DBA Doing business as
Authorized official Helms, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2015
Last updated Apr 3rd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508251786 NPPES
Arkansas MEDICAID 206724794

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