Concordia Quilt, Llc
Concordia Quilt, Llc is a health care provider in Bella Vista, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 7 Professional Dr, Bella Vista, AR 72714-2462, US |
|Practice Location Phone||479-855-3735|
|Practice Location Fax||479-855-4697|
|Legal Business Name||CONCORDIA QUILT, LLC|
|Other Organization Name||CONCORDIA CARE CENTER|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Nov 14, 2006|
|Last Update Date ? ||Jul 9, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Concordia Quilt, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Skilled Nursing Facility||Nursing & Custodial Care Facilities|| ||376||Arkansas|
Legacy Provider IDs of Concordia Quilt, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
|V564P-1054||Arkansas||Other||VA PROVIDER NUMBER|
Authorized Official of Concordia Quilt, Llc
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Concordia Quilt, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official || Thomas J Witt|
|Authorized Official Title/Position||MANAGING MEMBER|
|Authorized Official Phone Number||505-797-8735|