Provider Demographics
NPI:1669703187
Name:ASHLEY NURSING CENTER INC
Entity type:Organization
Organization Name:ASHLEY NURSING CENTER INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHEIF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:NORSWORTHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-636-5497
Mailing Address - Street 1:299 S 24TH ST
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1102
Mailing Address - Country:US
Mailing Address - Phone:479-636-5497
Mailing Address - Fax:479-621-9095
Practice Address - Street 1:114 CHESTER ASHLEY DR
Practice Address - Street 2:
Practice Address - City:CROSSETT
Practice Address - State:AR
Practice Address - Zip Code:72635
Practice Address - Country:US
Practice Address - Phone:479-636-5497
Practice Address - Fax:479-621-9095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility