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Long Term Care Facility Details

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Facility Information
Facility Name: StoneBridge of Russellville
Mailing Address: 2500 S. Old Highway 94, Suite 104, St. Charles, AR 63303
Physical Address: 1909 East Fairway Blvd, Russellville, AR 72801
County: Pope
Phone Number: 479-567-5578
Fax Number: 479-567-5625
Administrator and Certifications
Administrator: Diana Tillman
Administrator License No: 1234
Life Safety Code Years: 2014
Certification: Medicaid Waiver
Certified Beds
Total Licensed Beds: 75
Medicaid Beds: 0
Medicare Beds: 0
Medicaid/Medicare Beds: 0
Private Beds: 75
Classification: Assisted Living Facility Level II
Ownership and Financial Interest
Entity Type: Corporation
Corporation Name: Lierman Family Co XVIII LLC

Arkansas Department
of Human Services
(501) 682-1001

TTY: 1-800-285-1131 or dial 711 for Arkansas Relay Service

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