Basic Information
| Provider Information | |||||||||
| NPI: | 1588633200 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CHAMBERS NURSING HOME CENTER, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1126 | ||||||||
| Address2: | |||||||||
| City: | CARLISLE | ||||||||
| State: | AR | ||||||||
| PostalCode: | 720241126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8705527150 | ||||||||
| FaxNumber: | 8705527601 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 EAST PARK STREET | ||||||||
| Address2: | |||||||||
| City: | CARLISLE | ||||||||
| State: | AR | ||||||||
| PostalCode: | 72024 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8705527150 | ||||||||
| FaxNumber: | 8705527601 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | GLOVER | ||||||||
| AuthorizedOfficialFirstName: | LEE | ||||||||
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| AuthorizedOfficialTitleorPosition: | ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 8705527150 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | 101 | AR | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.