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Long Term Care Facility Details
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| Facility Information | | Facility Name: | Bradford House Nursing and Rehab, LLC | | Mailing Address: | 1202 S. E. 30th Street, Bentonville, AR 72712 | | Physical Address: | 1202 S. E. 30th Street, Bentonville, AR 72712 | | County:
| Benton | | Phone Number: | 479-273-3430 or 636-9353 | | Fax Number: | 479-273-3860 | | Administrator and Certifications
| | Administrator: | Jesse White | | Administrator License No.:
| 2005 | | Life Safety Code Years: | 2000 | | Certifications: | XIX/XVIII | | Certified Beds | | Total Licensed Beds: | 98 | | Medicaid Beds: | 0 | | Medicare Beds: | 24 | | Medicaid/Medicare Beds: | 74 | | Private Beds: | 0 | | Classification: | Skilled Nursing Facility with dual certified beds (Medicaid /Medicare) | | Ownership and Financial Interest | | Entity Type: | Limited Liability Company | | Corporation Name: | Bradford House Nursing and Rehab, LLC |
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