Acc 1, LLC

Skilled Nursing Facility · Pine Bluff, AR

Organization Active NPI

NPI number 1821085499

Practice location

6301 S Hazel St
Pine Bluff, AR 71603-7818
Phone
(870) 534-8153
Fax
(870) 534-6073

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NPI record

NPI
1821085499
Entity type
Organization (Type 2)
Enumeration date
September 29, 2005
Last updated
March 30, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Authorized official

Name
Mr. Kyle Mark Deshotels
Title
Managing/Member
Phone
(870) 733-1255

Other names

  • Arkansas Convalescent Center

About Acc 1, LLC

Acc 1, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 6301 S Hazel St, Pine Bluff, AR 71603-7818. The NPI number 1821085499 was assigned on September 29, 2005 and the record was last updated on March 30, 2012.

The authorized official for this organization is Mr. Kyle Mark Deshotels, Managing/Member.

Frequently asked questions

What is the NPI number of Acc 1, LLC?

The NPI number is 1821085499.

What is the phone number of Acc 1, LLC?

The phone number listed for the practice location is (870) 534-8153.

Where is Acc 1, LLC located?

6301 S Hazel St, Pine Bluff, AR 71603-7818.

What is the taxonomy code for Acc 1, LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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