NPI 1801928627

State of Arkansas

Organisation Intellectual Disabilities Intermediate Care Facility Booneville, AR

Practice location

Address: 87 Reed Rd Highway 116 South, Booneville, AR 72927
Phone: (479) 675-2121
Fax: (479) 675-5820

Authorised official

Name: Judy L. Storey
Title: Director of Operations
Phone: (479) 675-1411

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Arkansas →

Registry record

NPI: 1801928627
Entity type: Organization
NPI issued: 9 Mar 2007
Record last updated: 25 Jun 2008

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.