Facility

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Facility Information

Mailing-Address:-Mailing address, Mailing City, Mailing State Mailing Zipcode

Physical-Address:-Physcial Address, Physicial City, Physical state Physical zipcode

Phone-Number:-Phone

Fax-Number:-Fax

Administrator and Certifications

Administrator:-Administrator

Administrator-License-No:-Administrator License Number

Life-Safety-Code-Years:-Life Safety Code

Certification:-Certifications

Certified Beds

Homestyle-Beds:-0

Medicaid-Beds:-Medicaid Beds

Medicare-Beds:-Medicare Beds

Medicaid/Medicare-Beds:-Medicaid Medicare Beds

Private-Beds:-Private Beds

Classification:-Classification

Ownership and Financial Interest

Entity-Type:-Entity

Corporation-Name:-Corporation

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Divisions & Offices:
Donaghey Plaza,
P.O. Box 1437,
Little Rock, AR 72203

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