Basic Information
Provider Information
NPI: 1245962042
EntityType: 2
ReplacementNPI:  
OrganizationName: LONOKECO OPS, INC.
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Mailing Information
Address1: 824 SALEM RD STE 210
Address2:  
City: CONWAY
State: AR
PostalCode: 720344855
CountryCode: US
TelephoneNumber: 5017306798
FaxNumber: 5019323169
Practice Location
Address1: 1001 E PARK ST
Address2:  
City: CARLISLE
State: AR
PostalCode: 720249469
CountryCode: US
TelephoneNumber: 8705527150
FaxNumber: 8705527601
Other Information
ProviderEnumerationDate: 06/29/2022
LastUpdateDate: 06/29/2022
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: ADAMS
AuthorizedOfficialFirstName: ANTHONY
AuthorizedOfficialMiddleName: BRANDON
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 5019320050
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: RHC OPERATIONS, INC.
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NPICertificationDate: 06/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
314000000X  Y Nursing & Custodial Care FacilitiesSkilled Nursing Facility 

No ID Information.


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