Organization

Kmj Enterprises Benton I Llc

May also be knows as Stoneybrook Health And Rehabilitation Center

Skilled Nursing Facility in Benton, AR(View on Map)

Legal Business Name

Kmj Enterprises Benton I Llc

Also Known As

Stoneybrook Health And Rehabilitation Center

NPI Number

1972590446

NPI Type

Organization

Enumeration Date

09/30/2005

Specialties

(Taxonomies)

Code

314000000X

Primary Taxonomy

Yes

Licenses

State

Arkansas

License Number

709

Contact
Information

Purpose

Mailing
Location

Address

3300 MILITARY RD
3300 MILITARY RD

City

Benton
Benton

State

AR
AR

Postal Code

72015-2581
72015-2581

Country

US
US

Telephone Number

(501) 778-8282
(501) 778-8282

Authorized Official

Name

Patricia Miller

Title or Position

PRESIDENT/CEO

Telephone Number

(479) 636-5716

Identifiers

Identifier

119717311

Identifier State

AR

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/10/2008

Provider Address

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Organization

Stoneybrook Healthcare & Rehab, Llc

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Organization

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Organization

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Organization

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Specialty: Skilled Nursing Facility (Primary)