Jacksonville Care Center, LLC
Organization Active NPI Assisted Living Facility · Jacksonville, AR
NPI 1720512643 · NPPES record last updated Apr 20, 2020
Key facts
- NPI
- 1720512643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 502 (AR)
- Legal business name
- JACKSONVILLE CARE CENTER, LLC
- Practice address
- 1500 Graham Rd
Jacksonville, AR 72076-3837 - Phone
- (501) 982-5545
- Fax
- (501) 982-0016
- NPI assigned
- Apr 18, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerry D Sams
- Title
- Member
- Phone
- (479) 783-4672
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 502 | AR | Yes |
Addresses
Primary practice location
1500 Graham Rd
Jacksonville, AR 72076-3837
Mailing address
415 Rogers Ave
Fort Smith, AR 72901-1903
Phone (479) 783-4672
Other providers in Jacksonville, AR
- Kristi Hyde
- Aaron Joseph Irvin I
- Katherine Isenberg
- Rebecca Williams Jackson
- Sheryl Jackson
- Jacksonville Chiropractic P. a.
- Jacksonville Emergency Medicine LLC
- Jacksonville North Pulaski School District
- Jacksonville Physical Therapy
- Jacksonville Smile Canter
All providers in Jacksonville, AR · Assisted Living Facility in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.