Provider First Line Business Practice Location Address:
203 COTTER RD
Provider Second Line Business Practice Location Address:
GASSVILLE NURSING AND REHAB CENTER
Provider Business Practice Location Address City Name:
GASSVILLE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72635-8529
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-368-4377
Provider Business Practice Location Address Fax Number:
501-325-3705
Provider Enumeration Date:
05/24/2007