Indian Rock Village, Llc in Fairfield Bay - Nursing Facility/intermediate Care Facility
Indian Rock Village, Llc - NPI 1780633222
Indian Rock Village, Llc is a Nursing Facility/intermediate Care Facility in Fairfield Bay, Arkansas. Indian Rock Village, Llc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Indian Rock Village, Llc is 1780633222. The last update date is 2013-12-04.
Indian Rock Village, Llc's current location address is 265 Dave Creek Pkwy, Fairfield Bay, Arkansas. You can contact this provider via phone number 5018843210 and fax number 5018846800. The mailing address for Indian Rock Village, Llc is 265 Dave Creek Pkwy, Fairfield Bay, Arkansas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Indian Rock Village, Llc |
---|---|
Address | 265 Dave Creek Pkwy, Fairfield Bay, Arkansas |
Phone Number | 5018843210 |
Fax Number | 5018846800 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
---|---|
Authorized Official Name | Holman Victor Edward |
Telephone Number | 5012240846 |
NPI Number Detail
NPI Number | 1780633222 |
---|---|
Provider Enumeration Date | 2006-05-10 |
Last Updated Date | 2013-12-04 |
Provider Mailing Address Detail
Address | 265 Dave Creek Pkwy |
---|---|
City | Fairfield Bay |
State | Arkansas (AR) |
Post Code | 720883106 |
Phone Number | 5018843210 |
Fax Number | 5018846800 |
Provider's Primary Taxonomy Detail
Speciality | Nursing Facility/intermediate Care Facility |
---|---|
Taxonomy | 313M00000X |
Licence No | 452 |
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
Post Comment/ Review Below
What is the Indian Rock Village, Llc's unique identification number?
The Indian Rock Village, Llc has been assigned the NPI (National Provider Identifier) Number 1780633222 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Indian Rock Village, Llc is physically located?
The Indian Rock Village, Llc is physically situated at the following address: 265 Dave Creek Pkwy, Fairfield Bay, AR, 720883106.
What is Indian Rock Village, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Indian Rock Village, Llc's area of specialization is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this field of practice is 313M00000X.
When did the Indian Rock Village, Llc receive its 1780633222?
The Indian Rock Village, Llc was issued its 1780633222 on 2006-05-10, which is the date when the organization was assigned this unique identifier.
As of what date were the Indian Rock Village, Llc's details last updated?
The information pertaining to the Indian Rock Village, Llc, including its address, specialty, and other details, was most recently updated on 2013-12-04.