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PEACHTREE LANE AT MENA, LLC
NPI 1740407493
Assisted Living Facility in Mena, AR

Active since April 20, 2007
1803 CORDIE DR, MENA, AR 71953(479) 394-2600(479) 394-2608 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peachtree Lane At Mena, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACHTREE LANE AT MENA, LLC (NPI 1740407493) is a healthcare organization registered as an assisted living facility in Mena, Arkansas and active in the NPI registry since April 2007. The organization lists Annette Landrum, Managing Member Owner, as its authorized official.

NPPES Registry Identity

NPI1740407493
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePEACHTREE LANE AT MENA, LLC
Location Address1803 CORDIE DRMena, AR 71953-9340
Mailing Address1422 Fresno StFort Smith, AR 72901-7065 · (479) 783-0718 · Fax (479) 783-8564
Phone(479) 394-2600
Fax(479) 394-2608
Organization SubpartNo
Authorized OfficialAnnette LandrumManaging Member Owner · (479) 783-0718
Enumeration DateApril 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1740407493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in AR · 008
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1803 CORDIE DR, Mena, AR 71953
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEACHTREE MENA LLC
Assisted Living Facility
1803 CORDIE DR
MENA, AR 71953
Polk County (479) 394-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peachtree Lane At Mena, LLC's NPI number?

The NPI number for Peachtree Lane At Mena, LLC is 1740407493. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Peachtree Lane At Mena, LLC located?

Peachtree Lane At Mena, LLC is located at 1803 Cordie Dr, Mena, AR 71953. The listed phone number is (479) 394-2600.

What is Peachtree Lane At Mena, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Peachtree Lane At Mena, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.