| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1154541878 | ST.JOHN'S PLACE OF ARKANSAS, LLC | 1400 HIGHWAY 79 167 BYP | FORDYCE | AR | 717421728 | |||
| 1326113689 | ST. JOHN'S PLACE OF ARKANSAS | PO BOX 1025 | FORDYCE | AR | 717421025 | |||
| 1154057123 | FREER | KERI | LYNN | 1400HWY 167/79 BYPASS | FORDYCE | AR | 71720 |