Organization · Type 2 NPI

White River Health System

Custodial Care Facility · Mountain View, AR

NPI number 1801972922 Active

Practice location

414 Massey Ave
Mountain View, AR 72560-6132

Fax (870) 269-9911

Specialties and licenses

Taxonomy	Code	License
Custodial Care Facility Primary	311Z00000X	359 (AR)

Custodial Care Facility: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or pa…

5 other providers at this address

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NPI record

NPI: 1801972922
Entity type: Organization (Type 2)
Issued: Oct 31, 2006
Last updated: Aug 22, 2020
Status: Active

Other names

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Stone County Residential Care Facility · doing business as

Authorized official

Mr. David D. Jarvis, LNHA
Associate Administrator - LTC Divis
(870) 670-5690

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801972922

White River Health System's National Provider Identifier is 1801972922, issued on Oct 31, 2006. The primary taxonomy on file is Custodial Care Facility (311Z00000X), and the practice location is in Mountain View, AR. The record was last updated on Aug 22, 2020.