Evergreen Living Center At Stagecoach

LBN: Salco Nc Inc
Evergreen Living Center At Stagecoach is an health care organization with primary practice located at 6907 Highway 5 N , Bryant AR 72022-7902. 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. Salco Nc Inc can be contacted via phone (501) 213-0547, or through Adams, Anthony Brandon via phone (501) 932-0050.

Contact Information

Primary practice address
6907 Highway 5 N Bryant AR 72022-7902
Phone: (501) 213-0547
Fax: (501) 213-0553
Website:
Map and Directions
Authorized official contact:
Name: Adams, Anthony Brandon
Phone: (501) 932-0050

Health care specialties

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

Profile Details

NPI number 1962851568
LBN Legal business name Salco Nc Inc
DBA Doing business as Evergreen Living Center At Stagecoach
Authorized official Adams, Anthony Brandon
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 6th, 2016
Last updated Aug 25th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962851568 NPPES
Arkansas MEDICAID 214133311
Arkansas Other 1117

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