NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1043206360 |   |   |   | HERITAGE SQUARE NURSING AND REHABILITATION CENTER, INC. | 710 N RUDDLE RD | BLYTHEVILLE | AR | 723152137 |
1205319340 |   |   |   | CHC HERITAGE SQUARE NURSING CENTER, LLC | 305 HIGHWAY 64 E STE D | AUGUSTA | AR | 720065158 |