Medi Home Of Prairie Grove

LBN: Sequoyah Residential Facility, Inc.
Medi Home Of Prairie Grove is an health care organization with primary practice located at 621 S Mock St , Prairie Grove AR 72753-3146. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Sequoyah Residential Facility, Inc. can be contacted via phone (479) 846-2169, or through Martin, Eddie via phone (479) 846-2169.

Contact Information

Primary practice address
621 S Mock St Prairie Grove AR 72753-3146
Phone: (479) 846-2169
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Eddie
Phone: (479) 846-2169

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 777 Arkansas

Profile Details

NPI number 1124109749
LBN Legal business name Sequoyah Residential Facility, Inc.
DBA Doing business as Medi Home Of Prairie Grove
Authorized official Martin, Eddie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Aug 22nd, 2020 - about 6 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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