NPI 1336356179

Baxter Retirement Village

Organisation Adult Care Home Facility Mountain Home, AR

Practice location

Address: 550 W 6th St, Mountain Home, AR 72653-3420
Phone: (479) 452-4949
Fax: (479) 478-8580

Authorised official

Name: Linda Short
Title: Owner
Phone: (479) 452-4949

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 244 (AR)

Other Custodial Care Facility providers in Arkansas →

Registry record

NPI: 1336356179
Entity type: Organization
NPI issued: 17 May 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.