Davis East

LBN: Hazel Street Nursing Association
Davis East is an health care organization with primary practice located at 6811 S Hazel St , Pine Bluff AR 71603-7829. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Hazel Street Nursing Association can be contacted via phone (870) 535-1155, or through Shepard, Michael T via phone (870) 541-0342.

Contact Information

Primary practice address
6811 S Hazel St Pine Bluff AR 71603-7829
Phone: (870) 535-1155
Fax: (870) 535-0732
Website:
Map and Directions
Authorized official contact:
Name: Shepard, Michael T
Phone: (870) 541-0342

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 725 Arkansas

Profile Details

NPI number 1104814383
LBN Legal business name Hazel Street Nursing Association
DBA Doing business as Davis East
Authorized official Shepard, Michael T
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 12th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104814383 NPPES
Arkansas MEDICAID 119733311

Popular Providers