Provider Demographics
NPI:1093188401
Name:WILLOW POINTE HEALTH & REHAB CENTER
Entity Type:Organization
Organization Name:WILLOW POINTE HEALTH & REHAB CENTER
Other - Org Name:WILLOW POINTE HEALTH & REHAB CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:L
Authorized Official - Last Name:LUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-833-5627
Mailing Address - Street 1:1051 LANTRIP RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-4161
Mailing Address - Country:US
Mailing Address - Phone:501-833-5627
Mailing Address - Fax:501-833-0166
Practice Address - Street 1:1010 BARNES ST
Practice Address - Street 2:
Practice Address - City:LONOKE
Practice Address - State:AR
Practice Address - Zip Code:72086-2003
Practice Address - Country:US
Practice Address - Phone:501-676-3103
Practice Address - Fax:501-676-7730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-06
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility