State Of Arkansas in Booneville - Intermediate Care Facility, Intellectual Disabilities
State Of Arkansas - NPI 1801928627
State Of Arkansas is a Intermediate Care Facility, Intellectual Disabilities in Booneville, Arkansas. State Of Arkansas practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for State Of Arkansas is 1801928627. The last update date is 2008-06-25.
State Of Arkansas's current location address is 87 Reed Rd, Booneville, Arkansas. You can contact this provider via phone number 4796752121 and fax number 4796755820. The mailing address for State Of Arkansas is 87 Reed Rd, Booneville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Arkansas |
|---|---|
| Address | 87 Reed Rd, Booneville, Arkansas |
| Phone Number | 4796752121 |
| Fax Number | 4796755820 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Storey L. Judy |
| Telephone Number | 4796751411 |
NPI Number Detail
| NPI Number | 1801928627 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 87 Reed Rd |
|---|---|
| City | Booneville |
| State | Arkansas (AR) |
| Post Code | 72927 |
| Phone Number | 4796752121 |
| Fax Number | 4796755820 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 109051213 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to State Of Arkansas by the Centers for Medicare & Medicaid Services?
The State Of Arkansas has been assigned the NPI (National Provider Identifier) 1801928627 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the State Of Arkansas's physical address?
The State Of Arkansas is physically located at 87 Reed Rd, in the city of Booneville, AR, with the postal code 72927.
What is State Of Arkansas's area of expertise and its corresponding taxonomy classification?
The State Of Arkansas's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801928627 to State Of Arkansas?
The Centers for Medicare & Medicaid Services originally issued the 1801928627 to State Of Arkansas on 2007-03-09.
When was the information pertaining to State Of Arkansas most recently updated or revised?
The details related to State Of Arkansas, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-25.
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