Provider Demographics
NPI:1093755506
Name:ENGLAND MANOR NURSING HOME, INC.
Entity Type:Organization
Organization Name:ENGLAND MANOR NURSING HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:CHESLEY
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-842-2771
Mailing Address - Street 1:400 STUTTGART HWY
Mailing Address - Street 2:P.O. BOX 302
Mailing Address - City:ENGLAND
Mailing Address - State:AR
Mailing Address - Zip Code:72046-2440
Mailing Address - Country:US
Mailing Address - Phone:501-842-2771
Mailing Address - Fax:501-842-2709
Practice Address - Street 1:400 STUTTGART HWY
Practice Address - Street 2:
Practice Address - City:ENGLAND
Practice Address - State:AR
Practice Address - Zip Code:72046-2440
Practice Address - Country:US
Practice Address - Phone:501-842-2771
Practice Address - Fax:501-842-2709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR04E044313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility