Organization · Type 2 NPI
State of Arkansas
Intellectual Disabilities Intermediate Care Facility · Booneville, AR
NPI number
1801928627
Active
Practice location
87 Reed Rd, Highway 116 South
Booneville, AR 72927
Fax (479) 675-5820
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1801928627
State of Arkansas's National Provider Identifier is 1801928627, issued on Mar 9, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Booneville, AR. The record was last updated on Jun 25, 2008.