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Long Term Care Facility Details
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| Facility Information | | Facility Name: | Lake Village Residential Care Center, LLC | | Mailing Address: | 917 Mary B. Drive, Lake Village, AR 71653 | | Physical Address: | 917 Mary B. Drive, Lake Village, AR 71653 | | County:
| Chicot | | Phone Number: | 870-265-5042 | | Fax Number: | 870-265-5258 | | Administrator and Certifications
| | Administrator: | Bobbie Ivey | | Administrator License No.:
| | | Life Safety Code Years: | 1/1/ | | Certifications: | | | Certified Beds | | Total Licensed Beds: | 40 | | Medicaid Beds: | 0 | | Medicare Beds: | 0 | | Medicaid/Medicare Beds: | 0 | | Private Beds: | 40 | | Classification: | Residential Care Facility | | Ownership and Financial Interest | | Entity Type: | Corporation | | Corporation Name: | Perennial Healthcare Management, LLC |
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