Organization · Type 2 NPI

KMJ Enterprises Bentonville Manor LLC

Skilled Nursing Facility · Bentonville, AR

NPI number 1619964160 Active

Practice location

224 S Main St
Bentonville, AR 72712-5963

Fax (479) 273-0623

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X712 (AR)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

3 other providers at this address

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About NPI 1619964160

KMJ Enterprises Bentonville Manor LLC's National Provider Identifier is 1619964160, issued on Sep 30, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Bentonville, AR. The record was last updated on Jun 10, 2008.