Prescott Manor Nursing Center

LBN: Ksj, Llc
Prescott Manor Nursing Center is an health care organization with primary practice located at 700 Manor Rd , Prescott AR 71857-2800. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Ksj, Llc can be contacted via phone (870) 887-6639, or through Head, Keith via phone (870) 887-6639.

Contact Information

Primary practice address
700 Manor Rd Prescott AR 71857-2800
Phone: (870) 887-6639
Fax: (870) 887-6690
Website:
Map and Directions
Authorized official contact:
Name: Head, Keith
Phone: (870) 887-6639

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0613 Arkansas

Profile Details

NPI number 1871500983
LBN Legal business name Ksj, Llc
DBA Doing business as Prescott Manor Nursing Center
Authorized official Head, Keith
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2006
Last updated Apr 22nd, 2008 - about 18 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 1871500983 NPPES
Arkansas MEDICAID 119673311

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