Organization · Type 2 NPI
Sequoyah Residential Facility, Inc.
Nursing Facility/Intermediate Care Facility · Prairie Grove, AR
Practice location
621 S Mock St
Prairie Grove, AR 72753-3146
Mailing address
PO Box 916
Prairie Grove, AR 72753-0916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 777 (AR) |
Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…
3 other providers at this address
About NPI 1124109749
Sequoyah Residential Facility, Inc.'s National Provider Identifier is 1124109749, issued on Oct 18, 2006. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Prairie Grove, AR. The record was last updated on Aug 22, 2020.